Active NPI
Roper Saint Francis Physicians Network
Doing business as Roper St. Francis Physician Partners Breast Surgery
- Surgery Physician
- Mount Pleasant, SC
National Provider Identifier
1407230758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Doing business as
- Roper St. Francis Physician Partners Breast Surgery
- Practice address
- 3510 N Highway 17 Ste 215
Mt Pleasant, SC 29466-8229 - Phone
- (843) 606-7020
- Fax
- (843) 606-7019
- NPI assigned
- Jul 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert J. Oliverio Jr., MD
- Title
- VP/Ceo Rsfpp
- Phone
- (843) 724-2903
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | SC | Primary | |
| Surgical Oncology Physician | 2086X0206X | SC |
Addresses
Primary practice location
3510 N Highway 17 Ste 215
Mt Pleasant, SC 29466-8229
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237 | Other | SC | TRICARE SUFFIX |
| GP6925 | Medicaid | SC |
Other names 1
- Roper St. Francis Physician Partners Breast Surgery
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090528000405 | SC | Part B Supplier - Clinic/Group Practice | 5193874824 |
Receives reassigned benefits from 837 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Mount Pleasant, SC
- NPI 1417837485
-
- Neonatal-Perinatal Medicine Physician
- Charleston, SC
- NPI 1558516443
-
- Surgery Physician
- Mount Pleasant, SC
- NPI 1316386568
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1649222928
-
- Family Nurse Practitioner
- Mount Pleasant, SC
- NPI 1689701765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1407230758",
"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 STE 215",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294668229",
"telephone_number": "843-606-7020",
"fax_number": "843-606-7019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-16",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "OLIVERIO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J.",
"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.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "SC",
"license": null,
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SUFFIX",
"identifier": "237",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP6925",
"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 Breast Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Pleasant, SC
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners OB/GYN)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners OB/GYN)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Behavioral Medicine)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Neurology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Cardiology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Thoracic Surgery)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Thoracic Surgery)
- 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 (Charleston Hip and Knee Replacement Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.