Roper Saint Francis Physicians Network

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Doing business as

Roper St. Francis Physician Partners General Surgery

Practice address

3510 N Highway 17
Suite 325
Mt. Pleasant, SC 29466

Phone

(843) 723-2835

Fax

(843) 606-8007

NPI assigned

Apr 25, 2014

Last updated

Mar 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert R. Oliverio Jr.NPI 1457373318

Title

VP/Ceo Rsfpp

Phone

(843) 724-2903

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Roper St. Francis Physician Partners General Surgery Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Ralph Oliverio Jr., MD

  • Internal Medicine Physician
  • N Charleston, SC
  • NPI 1457373318
  Authorized official Same address or phone
• Hannah Gersbach Brabham, FNP-C

  • Nurse Practitioner
  • Ladson, SC
  • NPI 1750037156
  NPD
• Devon E Licari, ARNP, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1083038723
  NPD
• Sarah Nicole Peglow, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1629627476
  NPD
• Kasey Ann Vendemia, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1659932374
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1184044497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N HIGHWAY 17",
            "address_2": "SUITE 325",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29466",
            "telephone_number": "843-723-2835",
            "fax_number": "843-606-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VP/CEO RSFPP",
        "authorized_official_telephone_number": "843-724-2903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6431",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SC AND BLUECHOICE SUFFIX",
            "identifier": "220",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roper St. Francis Physician Partners General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Walk-In Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners General Surgery)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Walk-in Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Urology)
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
• Roper Saint Francis Physicians Network (Roper St Francis Physician Partners Plastic and Reconstructive Surgery)

• Surgery Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.