Active NPI
Roper Saint Francis Physicians Network
Doing business as Roper St. Francis Physician Partners Orthopaedics
- Podiatrist
- Charleston, SC
National Provider Identifier
1417287384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0054
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Doing business as
- Roper St. Francis Physician Partners Orthopaedics
- Practice address
- 1611 Savannah Hwy
Suite a
Charleston, SC 29407 - Phone
- (843) 766-1632
- Fax
- (843) 763-9430
- NPI assigned
- Dec 28, 2009
- Last updated
- Nov 27, 2023
- 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.
- Title
- VP/Ceo Rsfpp
- Phone
- (843) 724-2903
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Podiatrist | 213E00000X | 0054 | SC | Primary |
Addresses
Primary practice location
1611 Savannah Hwy
Suite a
Charleston, SC 29407
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3559 | Medicaid | SC | |
| 6869520015 | Other | SC | MEDICARE DME PTAN |
| GP9900 | Medicaid | SC | |
| DP0704 | Other | SC | RAILROAD MEDICARE GROUP PTAN |
Other names 1
- Roper St. Francis Physician Partners Orthopaedics
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
1611 Savannah Hwy
Ste A
Charleston, SC 29407
Phone (843) 766-1632
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1831450683
-
- Podiatrist
- Charleston, SC
- NPI 1447254461
-
- Physician Assistant
- Summerville, SC
- NPI 1508811522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1417287384",
"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": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 SAVANNAH HWY",
"address_2": "SUITE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29407",
"telephone_number": "843-766-1632",
"fax_number": "843-763-9430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-28",
"last_updated": "2023-11-27",
"certification_date": "2019-12-13",
"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."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "0054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE3559",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME PTAN",
"identifier": "6869520015",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP9900",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP PTAN",
"identifier": "DP0704",
"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 Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
- Roper Saint Francis Physicians Network (Coastal Oncology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
- Roper Saint Francis Physicians Network (Roper St. Francis Neonatology)
- Roper Saint Francis Physicians Network (Roper Sr. Francis Physician Partners General Surgery)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Orthopaedics)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Neurology)
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Endocrinology)
- Roper Saint Francis Physicians Network (Roper St. Francis Pharmacy, West Ashley)
- Roper Saint Francis Physicians Network (Roper St. Francis Express Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.