Roper Saint Francis Physicians Network

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Practice address

125 Doughty St Ste 280
Charleston, SC 29403-5727

Phone

(843) 720-8317

Fax

(843) 720-8319

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Robert Oliverio

Title

Ceo

Phone

(843) 789-9319

Specialties & licenses 1

Addresses

Other names 1

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan T. Donaldson, MD

  • Urology Physician
  • Mt Pleasant, SC
  • NPI 1881693026
  NPD
• Jessica Marie Hatfield, PA

  • Physician Assistant
  • North Charleston, SC
  • NPI 1073182879
  NPD
• Lori Anne Johnson, PA

  • Medical Physician Assistant
  • Summerville, SC
  • NPI 1437554425
  NPD
• Sheel Patel-Polk, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charleston, SC
  • NPI 1649632795
  NPD
• Scott D Ross, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charleston, SC
  • NPI 1164413563
  NPD
• Ashley Nicole Starodub, PA

  • Physician Assistant
  • Charleston, SC
  • NPI 1588054092
  NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1215466701",
    "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": "125 DOUGHTY ST STE 280",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035727",
            "telephone_number": "843-720-8317",
            "fax_number": "843-720-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-789-9319"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Thoracic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Thoracic Surgery (Cardiothoracic Vascular 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.