Healthcare Provider Details
I. General information
NPI: 1245473545
Provider Name (Legal Business Name): ROPER SAINT FRANCIS PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2009
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 WINGO WAY SUITE 207
MT PLEASANT SC
29464
US
IV. Provider business mailing address
PO BOX 632516
CINCINNATI OH
45263-2516
US
V. Phone/Fax
- Phone: 843-884-5101
- Fax: 843-606-7997
- Phone: 888-472-0043
- Fax: 513-653-4122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
R.
OLIVERIO
JR.
Title or Position: VP/CEO RSFPP
Credential:
Phone: 843-724-2903