Roper Saint Francis Physicians Network

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Doing business as

Roper St Francis Physician Partners Urology

Practice address

300 Callen Blvd Ste 220
Summerville, SC 29486-2809

Phone

(843) 884-8045

Fax

(843) 881-5081

NPI assigned

Oct 5, 2018

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert R. Oliverio

Title

Ceo

Phone

(843) 789-9319

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roper St Francis Physician Partners Urology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Kasey Cristine O'Shields, MMSC, PA-C, ATC

  • Surgical Physician Assistant
  • Charleston, SC
  • NPI 1043628746
  NPD

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1942775952",
    "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": "300 CALLEN BLVD STE 220",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862809",
            "telephone_number": "843-884-8045",
            "fax_number": "843-881-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-789-9319"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8744",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roper St Francis Physician Partners Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roper St Francis Physician Partners Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Cardiac Surgery)
• Roper Saint Francis Physicians Network (Roper St.Francis Physician Partners Primary Care)
• Roper Saint Francis Physicians Network (Roper St.Francis Physician Partners Primary Care)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Breast Surgery)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Coastal Cardiology)
• Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Behavioral Medicine)
• Roper Saint Francis Physicians Network (Roper St. Francis OB/GYN Partners)
• Roper St Francis Hospital-Berkeley Inc. (Roper St. Francis Wound Management and Hyperbaric Medicine)
• Roper St Francis Hospital-Berkeley Inc. (Roper St. Francis Intensivist Services)
• Roper St Francis Hospital-Berkeley Inc. (Roper St. Francis Intensivist Services)

• Urology Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.