Active NPI
Roper Saint Francis Physicians Network
Doing business as Roper St. Francis Physician Partners Extensivist Service
- Internal Medicine Physician
- North Charleston, SC
National Provider Identifier
1730609504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Doing business as
- Roper St. Francis Physician Partners Extensivist Service
- Practice address
- 5133 Rivers Ave
North Charleston, SC 29406-6338 - Phone
- (843) 727-3392
- Fax
- (843) 958-1263
- NPI assigned
- Jun 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5133 Rivers Ave
North Charleston, SC 29406-6338
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP6815 | Medicaid | SC |
Other names 1
- Roper St. Francis Physician Partners Extensivist Service
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517529600000",
"number": "1730609504",
"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": "5133 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066338",
"telephone_number": "843-727-3392",
"fax_number": "843-958-1263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-22",
"last_updated": "2018-02-02",
"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": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP6815",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roper St. Francis Physician Partners Extensivist Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Roper St. Francis Physician Partners Extensivist Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Charleston, SC
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Vascular Surgery)
- Roper Saint Francis Physicians Network (Roper St Francis Physician Partners Laboratory)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Occupational Medicine)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners OB/GYN)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Laboratory)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners)
- Roper Saint Francis Physicians Network (Vascular Medicine and Wound Management Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.