MEDICARE: ROPER SAINT FRANCIS PHYSICIANS NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	207R00000X	Internal Medicine Physician	SC
3	207Q00000X	Family Medicine Physician	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	239	OTHER	SC	BCBSSC AND BLUECHOICE SUFFIX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093138612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROPER SAINT FRANCIS PHYSICIANS NETWORK

Provider Business Mailing Address
First Line	:	PO BOX 632516
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2516
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	513-653-4122

Provider Business Practice Location Address
First Line	:	180 WINGO WAY STE 202
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-1811
Country	:	US
Telephone Number	:	843-606-7048
Fax Number	:	843-284-0826

Authorized Official
Title or Position	:	VP/CEO RSF PP
Name	:	ROBERT R. OLIVERIO JR.
Credential	:	MD
Telephone Number	:	843-724-2903

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	04/12/2026

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