Provider Demographics
NPI: | 1629203187 |
---|---|
Name: | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
Entity Type: | Organization |
Organization Name: | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VP/CEO RSFP |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ROBERT |
Authorized Official - Middle Name: | R |
Authorized Official - Last Name: | OLIVERIO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 843-724-2903 |
Mailing Address - Street 1: | PO BOX 751649 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHARLOTTE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28275-1649 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 843-789-1620 |
Mailing Address - Fax: | 843-724-2440 |
Practice Address - Street 1: | 8536 PALMETTO COMMERCE PKWY STE 502 |
Practice Address - Street 2: | |
Practice Address - City: | LADSON |
Practice Address - State: | SC |
Practice Address - Zip Code: | 29456 |
Practice Address - Country: | US |
Practice Address - Phone: | 843-789-1620 |
Practice Address - Fax: | 843-724-2440 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-05-27 |
Last Update Date: | 2018-07-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Multi-Specialty | |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 207YS0123X | Allopathic & Osteopathic Physicians | Otolaryngology | Facial Plastic Surgery | Group - Multi-Specialty |
No | 207YX0007X | Allopathic & Osteopathic Physicians | Otolaryngology | Plastic Surgery within the Head & Neck | Group - Multi-Specialty |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
No | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | Plastic Surgery Within the Head and Neck | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 2086H0002X | Allopathic & Osteopathic Physicians | Surgery | Hospice and Palliative Medicine | Group - Multi-Specialty |
No | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | Group - Multi-Specialty |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
No | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Group - Multi-Specialty |