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	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DP0704	OTHER	SC	RAILROAD MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	042	OTHER	SC	BCBS SC SUFFIX
2	614387325	OTHER	SC	DOL
3	101	OTHER	SC	BLUECHOICE SUFFIX
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760625024
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	:	888-472-0043

Provider Business Practice Location Address
First Line	:	615 WESLEY DR
Second Line	:	SUITE 200
City	:	CHARLESTON
State	:	SC
Zip	:	29407
Country	:	US
Telephone Number	:	843-571-6880
Fax Number	:	843-571-1387

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

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	04/15/2026

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Directions to “ROPER SAINT FRANCIS PHYSICIANS NETWORK ” Practice Location

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