ROPER SAINT FRANCIS PHYSICIANS NETWORK (NPI# 1104374131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104374131 |
| Entity Type | Organization |
| Organization Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Other Organization Name | ROPER ST. FRANCIS PHYSICIAN PARTNERS BREAST SURGERY |
| Practice Address |
1112 N Main St Suite C Summerville SC 29483 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8436067020 |
| Practice Fax Number | 8436067019 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | ROBERT R. OLIVERIO JR. (VP/CEO RSFPP) |
| Authorized Official Telephone | 8437242903 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
SC | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7197 | 05 | |
| SC | BCBS SC AND BLUECHOICE SUFFIX | 022 | 01 |
| Other Name | Type Code |
|---|---|
| Roper St. Francis Physician Partners Breast Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934305 | Roper Saint Francis Physicians Network | Internal Medicine | 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | 2020-08-27 |
| 1063022739 | Roper Saint Francis Physicians Network | Colon & Rectal Surgery | 1807 Crowne Commons Way Ste F1, Johns Island, SC 29455-4931 | 2020-08-06 |
| 1831746874 | Roper Saint Francis Physicians Network | Internal Medicine | 615 Wesley Dr Ste 120, Charleston, SC 29407-7206 | 2019-08-23 |
| 1770137259 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 3510 N Highway 17 Ste 315, Mount Pleasant, SC 29466-8230 | 2019-08-01 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1265893705 | Roper Saint Francis Physicians Network | Family Medicine | 1525 Old Trolley Rd Ste H, Summerville, SC 29485-8928 | 2016-03-11 |
| 1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
| Street Address |
1112 N MAIN ST SUITE C |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003343302 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 1112 N Main St, Suite C, Summerville, SC 29483-7315 | 2017-05-17 |
| 1649728676 | Roper Saint Francis Physicians Network | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1112 N Main St, Suite C, Summerville, SC 29483-7315 | 2016-09-20 |
| 1740738772 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St, Suite C, Summerville, SC 29483 | 2016-09-20 |
| 1871972802 | Roper Saint Francis Physicians Network | Internal Medicine | 1112 N Main St, Summerville, SC 29483 | 2015-05-22 |
| 1710308127 | James William Pippin | Nurse Practitioner | 1112 N Main St, Summerville, SC 29483-7315 | 2014-01-02 |
| 1356604144 | Brooke Danielle Benson | Family Medicine | 1112 N Main St, Summerville, SC 29483-7315 | 2012-06-18 |
| 1831450683 | Aaron Hyson | Family Medicine | 1112 N Main St, Summerville, SC 29483-7315 | 2012-06-07 |
| 1578856217 | Goroh Okazaki | Family Medicine | 1112 N Main St, Summerville, SC 29483-7315 | 2011-05-26 |
| 1710943584 | Skye Nicole Deberry | Family Medicine | 1112 N Main St, Summerville, SC 29483-7315 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1285718866 | Craig Ashley Blum | Surgery | 102 W 8th North St Ste B, Summerville, SC 29483-6656 | 2006-10-24 |
| 1649242447 | Neil Shaw Mcdevitt | Surgery | 109 Burton Ave, Suite E, Summerville, SC 29485-8117 | 2006-02-06 |
| 1740738772 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St, Suite C, Summerville, SC 29483 | 2016-09-20 |
| 1073794806 | Michael Michel | Surgery | 109 Burton Ave, Suite E, Summerville, SC 29485-8117 | 2007-11-20 |
| 1518054311 | Victor Birch Rambo | Surgery | 201 W 9th North St, Unit 157, Summerville, SC 29483-6721 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785282 | Christopher James Levy | Surgery | Prisma Health Medical Group General Surgery, 2 Medical Park, Ste 300, Collumbia, SC 29203 | 2020-06-18 |
| 1881219137 | Meredith Elizabeth Taylor | Surgery | 96 Jonathan Lucas St # 613, Charleston, SC 29425-8900 | 2020-06-12 |
| 1073136511 | Trey Jeffrey Mathews | Surgery | 101 E. Wood St, Spartanburg, SC 29303-3098 | 2020-05-19 |
| 1356984322 | Katelyn Tuley | Surgery | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579-6706 | 2019-10-23 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1104485648 | Gregory Tyler Rives | Surgery | 96 Jonathan Lucas St Csb 423-a / Msc 613, Charleston, SC 29425-0001 | 2019-06-09 |
| 1396220554 | Spartanburg Medical Center | Surgery | 840 W Floyd Baker Blvd Ste B, Gaffney, SC 29341-1845 | 2018-10-03 |
| 1336633569 | Lytani Wilson | Surgery | 96 Jonathan Lucas St # 423, Charleston, SC 29425 | 2018-06-20 |
| 1609360890 | Alicia Marie Stafford | Surgery | 169 Ashley Avenue Rm 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-20 |
| 1801389788 | Michael Thomas Gibbons | Surgery | Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-06-14 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.