St Francis Physician Services Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

ST FRANCIS PHYSICIAN SERVICES INC

Practice address

131 Commonwealth Dr Ste 350
Greenville, SC 29615-4870

Phone

(864) 675-4730

Fax

(864) 675-4838

NPI assigned

Jun 9, 2011

Organization subpart

Yes

Parent organization

ST FRANCIS PHYSICIAN SERVICES INCAs reported in NPPES

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

Authorized official

Name

Wilbur R Gay III

Title

Vice President of Finance-BSMG

Phone

(864) 605-3762

Specialties & licenses 1

Addresses

Other names 1

• Colon & Rectal Surgery Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

The OBGYN Group of Greenville

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1497040224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-675-4815",
            "fax_number": "864-675-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR STE 350",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154870",
            "telephone_number": "864-675-4730",
            "fax_number": "864-675-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2011-06-09",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE-BSMG",
        "authorized_official_telephone_number": "864-605-3762",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colon & Rectal Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc
• St Francis Physician Services Inc

• Colon & Rectal Surgery Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Colon & Rectal Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; 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.