Active NPI
St Francis Physician Services Inc
- Neurological Surgery Physician
- Greenville, SC
National Provider Identifier
1669942710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- ST FRANCIS PHYSICIAN SERVICES INC
- Practice address
- 3 Saint Francis Dr Ste 490
Greenville, SC 29601-3973 - Phone
- (864) 220-4263
- NPI assigned
- Dec 3, 2018
- Organization subpart
- Yes
- Parent organization
- ST FRANCIS PHYSICIAN SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilbur Gay
- Title
- Cfo
- Phone
- (864) 561-7672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
3 Saint Francis Dr Ste 490
Greenville, SC 29601-3973
Mailing address
PO Box 639856
Cincinnati, OH 45263-9856
Other names 1
- Bon Secours Neuroendovascular
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050126000259 | SC | Part B Supplier - Clinic/Group Practice | 6608826821 |
Receives reassigned benefits from 258 practitioners This NPI is an additional NPI on the enrollment Practice locations: Greenville, SC; Simpsonville, SC; Greer, SC; Mauldin, SC; Taylors, SC; Travelers Rest, SC; Easley, SC; Clemson, SC… |
National Provider Directory
National Provider Directory- Part of
- The OBGYN Group of Greenville
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616457600000",
"number": "1669942710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639856",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAINT FRANCIS DR STE 490",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013973",
"telephone_number": "864-220-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS PHYSICIAN SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST FRANCIS PHYSICIAN SERVICES INC",
"enumeration_date": "2018-12-03",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "WILBUR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "864-561-7672"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bon Secours Neuroendovascular",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bon Secours Neuroendovascular",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, SC
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.