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	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1497389423
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	:	1807 CROWNE COMMONS WAY
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-4931
Country	:	US
Telephone Number	:	843-203-2280
Fax Number	:	843-203-2281

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT OLIVERIO
Credential	:
Telephone Number	:	843-789-9319

Provider Enumeration Date	:	02/28/2020
Last Update Date	:	04/12/2026

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