Bon Secours St. Francis Xavier Hospital, Inc.

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

BON SECOURS ST. FRANCIS XAVIER HOSPITAL, INC.

Doing business as

St. Francis Hospital Diabetes and Cardiac Wellness Center

Practice address

2097 Henry Tecklenburg Dr Ste 309W
Charleston, SC 29414-5744

Phone

(843) 402-1966

Fax

(843) 402-1236

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Hale Desmond

Title

Regional President BSSF MPH VP Ops

Phone

(843) 724-2103

Specialties & licenses 1

Addresses

Other names 1

• St. Francis Hospital Diabetes and Cardiac Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bon Secours St Francis Xavier Hospital, Inc.

  dba Roper St. Francis Intensivist Services

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, SC
  • NPI 1205635968

  O20100607000884

  Same enrollment
• Bon Secours St Francis Xavier Hospital, Inc.

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1740502822

  O20100607000884

  Same enrollment
• Bon Secours St. Francis Xavier Hospital, Inc.

  dba Roper St. Francis Perinatal Center

  • Maternal & Fetal Medicine Physician
  • Charleston, SC
  • NPI 1336546480

  O20100607000884

  Same enrollment
• Bon Secours St. Francis Xavier Hospital, Inc.

  dba St. Francis Anesthesia

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1871035956

  O20100607000884

  Same enrollment
• Bon Secours St. Francis Xavier Hospital, Inc.

  dba Roper St. Francis Healthcare Pediatrics

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1982583068

  O20100607000884

  Same enrollment
• Bon Secours St. Francis Xavier Hosptial, Inc.

  dba St. Francis IP Neurology Services

  • Neurology Physician
  • Charleston, SC
  • NPI 1578929634

  O20100607000884

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kathryn Scruggs Logan, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1235576810
  NPD
• Geetha Pinto, MD

  • Cardiovascular Disease Physician
  • Charleston, SC
  • NPI 1831350073
  NPD
• Scott D Ross, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charleston, SC
  • NPI 1164413563
  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1700620788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751874",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751874",
            "telephone_number": "843-402-5200",
            "fax_number": "843-402-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR STE 309W",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145744",
            "telephone_number": "843-402-1966",
            "fax_number": "843-402-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS ST. FRANCIS XAVIER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT BSSF MPH VP OPS",
        "authorized_official_telephone_number": "843-724-2103"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Hospital Diabetes and Cardiac Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours St Francis Xavier Hospital, Inc.
• Bon Secours St Francis Xavier Hospital, Inc. (Charleston Oncology A Department of Bon Secours St. Francis Hospital)
• Bon Secours St. Francis Hospital
• Bon Secours St. Francis Xavier Hospital Inc. (Roper St. Francis Intensivist Services)
• Bon Secours St. Francis Xavier Hospital, Inc. (Roper St. Francis Perinatal Center)
• Bon Secours St. Francis Xavier Hospital, Inc. (St. Francis Anesthesia)
• Bon Secours St. Francis Xavier Hospital, Inc. (Roper St. Francis Healthcare Pediatrics)
• Bon Secours St. Francis Xavier Hosptial, Inc. (Charleston Oncology A Department of Bon Secours St. Francis Hospital)
• Bon Secours St. Francis Xavier Hosptial, Inc. (St. Francis IP Neurology Services)
• Bon Secours St. Francis Xavier Hosptial, Inc. (Lowcountry Hematology and Oncology A Department of BSSFH)

• Nutrition Education Nutritionist in Charleston, SC
• Providers in Charleston, SC by specialty
• Nutrition Education Nutritionist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.