Roper Saint Francis Physicians Network
Organization Active NPI Hematology & Oncology Physician · Varnville, SC
NPI 1740828516 · NPPES record last updated Dec 12, 2019
Key facts
- NPI
- 1740828516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Practice address
- 595 W Carolina Ave
Varnville, SC 29944-4735 - Phone
- (843) 881-5844
- Fax
- (843) 881-9499
- NPI assigned
- Dec 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Robert Oliverio
- Title
- Ceo
- Phone
- (843) 789-9319
Corporate family (same tax ID) 24
Practitioners 3
-
Whitney Brooke Putillion, PA-C
-
Kinsey Knight Southard, PA-C
-
Jessica Elizabeth Raux, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| 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
- Tax ID family
- Roper St Francis Physicians
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
595 W Carolina Ave
Varnville, SC 29944-4735
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other names
- Lowcountry Hematology and Oncology
Other providers in Varnville, SC
- Brenda L Poalillo
- Catherine Renee Pritchard
- Antony M Rea
- Victoria R Reynolds
- Roper Saint Francis Physicians Network
- Hope Rozier-Bryant
- Teletha Ruth
- Willie James Sauls Jr.
- Neal L. Shealy
- Sharon Lynn W Shealy
All providers in Varnville, SC · Hematology & Oncology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.