Healthcare Provider Details

I. General information

NPI: 1104732411
Provider Name (Legal Business Name): ROPER ST. FRANCIS SPECIALTY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

897 VON KOLNITZ RD STE 101
MT PLEASANT SC
29464-3630
US

IV. Provider business mailing address

PO BOX 632709
CINCINNATI OH
45263-2709
US

V. Phone/Fax

Practice location:
  • Phone: 843-534-1770
  • Fax: 877-453-3943
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT R OLIVERIO
Title or Position: VP AMBULATORY CARE
Credential: MD
Phone: 843-789-9313