ROPER SAINT FRANCIS PHYSICIANS NETWORK (NPI# 1912148685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912148685 |
| Entity Type | Organization |
| Organization Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Other Organization Name | ROPER ST. FRANCIS PHYSICIAN PARTNERS NEUROSURGERY AND SPINE |
| Practice Address |
2145 Henry Tecklenburg Dr Ste 220 Charleston SC 29414 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8437238823 |
| Practice Fax Number | 8436068059 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | DR. ROBERT R. OLIVERIO JR. (VP/CEO RSFPP) |
| Authorized Official Telephone | 8437242903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE3545 | 05 | |
| SC | DME MEDICARE PTAN | 6869520001 | 01 |
| SC | GP5004 | 05 | |
| SC | RAILROAD MEDICARE GROUP PTAN | DP0704 | 01 |
| DOL | 614387313 | 01 |
| Other Name | Type Code |
|---|---|
| Roper St. Francis Physician Partners Neurosurgery and Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934305 | Roper Saint Francis Physicians Network | Internal Medicine | 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | 2020-08-27 |
| 1063022739 | Roper Saint Francis Physicians Network | Colon & Rectal Surgery | 1807 Crowne Commons Way Ste F1, Johns Island, SC 29455-4931 | 2020-08-06 |
| 1831746874 | Roper Saint Francis Physicians Network | Internal Medicine | 615 Wesley Dr Ste 120, Charleston, SC 29407-7206 | 2019-08-23 |
| 1770137259 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 3510 N Highway 17 Ste 315, Mount Pleasant, SC 29466-8230 | 2019-08-01 |
| 1003373820 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 325 Folly Rd Ste 200, Charleston, SC 29412-2507 | 2019-02-28 |
| 1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1659853596 | Roper Saint Francis Physicians Network | Surgery | 300 Callen Blvd, Summerville, SC 29486-2809 | 2018-09-06 |
| 1265893705 | Roper Saint Francis Physicians Network | Family Medicine | 1525 Old Trolley Rd Ste H, Summerville, SC 29485-8928 | 2016-03-11 |
| 1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
| Street Address |
2145 HENRY TECKLENBURG DR STE 220 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766758 | Derrick Wade Randall | Anesthesiology | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2005-10-28 |
| 1295245553 | Brooke Jackson Kahn | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414 | 2017-10-01 |
| 1487023263 | Taylor Jessica Callinan | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2015-09-22 |
| 1720425077 | Melissa L. Woriax | Nurse Practitioner | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2013-05-28 |
| 1699041715 | Ryan Wills Uberman | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2012-03-23 |
| 1588819205 | Adele Petigru Moore | Nurse Practitioner | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2008-11-21 |
| 1770734675 | Robert Morgan Stuart | Neurological Surgery | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2008-10-09 |
| 1770591760 | Christopher Stephen Schafer | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2006-08-04 |
| 1538197306 | Larry Gene Harris | Physician Assistant | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2006-06-29 |
| 1801823745 | John Alexander Nicholson | Physical Medicine & Rehabilitation | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259374 | Brian Fabian Saway | Neurological Surgery | 96 Jonathan Lucas St Rm 301, Charleston, SC 29425-8900 | 2020-06-15 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1871899112 | Curtis Lee Withrow Sr. | Neurological Surgery | 1501 Barberry Ln, Charleston, WV 25314-1901 | 2011-02-03 |
| 1437775376 | Timothy Andrew Webb | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2020-06-16 |
| 1942860416 | Aimee C Weber | Neurological Surgery | 169 Ashley Ave, Charleston, SC 29425-8905 | 2019-06-17 |
| 1497240311 | Orgest Lajthia | Neurological Surgery | 171 Ashley Ave, Charleston, SC 29425 | 2018-06-23 |
| 1538689922 | David Brogan | Neurological Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2017-06-27 |
| 1407386055 | Laura Wolgamott | Neurological Surgery | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2017-06-15 |
| 1427408632 | Thomas Larrew | Neurological Surgery | 96 Jonathan Lucas St, Csb 301 Msc 606, Charleston, SC 29425-8900 | 2016-06-18 |
| 1821447731 | Guilherme Bastos Ferreira Porto | Neurological Surgery | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2016-06-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.