St Francis Physician Services Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ST FRANCIS PHYSICIAN SERVICES INC

Doing business as

Foothills ENT

Practice address

10 Enterprise Blvd
Ste. 201
Greenville, SC 29615-6301

Phone

(864) 234-7815

Fax

(864) 234-7846

NPI assigned

Jan 21, 2011

Last updated

Apr 16, 2014By the provider in NPPES

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

Cheryl M Fairley

Title

Vice President Network Operations

Phone

(864) 605-3755

Specialties & licenses 1

Addresses

Other names 1

• Foothills ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Part of

St Francis Physician Services

Practitioners 1

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.

• Lillian Mishelle Nicks, FNP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1558641670
  NPD

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1568767606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25039",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296160039",
            "telephone_number": "864-234-7815",
            "fax_number": "864-234-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD",
            "address_2": "STE. 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156301",
            "telephone_number": "864-234-7815",
            "fax_number": "864-234-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
        "enumeration_date": "2011-01-21",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "FAIRLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT NETWORK OPERATIONS",
        "authorized_official_telephone_number": "864-605-3755"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• St Francis Physician Services Inc (Carolina Surgical Associates Eastside)
• St Francis Physician Services Inc (Carolina Surgical Associates)
• St Francis Physician Services Inc (Bon Secours Geriatric Care)

• Otolaryngology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.