BON SECOURS RHEUMATOLOGY (ST FRANCIS PHYSICIAN SERVICES INC) NPI 1093036121

Internal Medicine (Rheumatology) in Greenville, SC

NPI 1093036121 Organization Internal Medicine Rheumatology CLIA Number 42D0932738 CLIA Certificate of Waiver

About BON SECOURS RHEUMATOLOGY (ST FRANCIS PHYSICIAN SERVICES INC)

Bon Secours Rheumatology (st Francis Physician Services Inc) is an internal medicine provider established in Greenville, South Carolina specializing in internal medicine (rheumatology) . The NPI number of Bon Secours Rheumatology (st Francis Physician Services Inc) is 1093036121 and was assigned on June 2010. The practitioner's primary taxonomy code is 207RR0500X. The provider is registered as an organization and their NPI record was last updated one year ago. Bon Secours Rheumatology (st Francis Physician Services Inc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Bon Secours Rheumatology. The authorized official of this NPI record is Wilbur R Gay Iii (Cfo)

An internist like Bon Secours Rheumatology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The CLIA number of Bon Secours Rheumatology is 42D0932738 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Bon Secours Rheumatology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1093036121

Provider NameBON SECOURS RHEUMATOLOGY (ST FRANCIS PHYSICIAN SERVICES INC)
Provider Location Address801 ROPER CREEK DR GREENVILLE, SC 29615
Provider Mailing AddressPO BOX 639856 CINCINNATI, OH 45263
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameBON SECOURS RHEUMATOLOGY
Other Name TypeDoing Business As (3)
Enumeration Date06-11-2010
Last Update Date03-25-2021


Primary Taxonomy

Taxonomy Code207RR0500X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationRheumatology
License StateSC
Taxonomy DescriptionAn internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Business Address

BON SECOURS RHEUMATOLOGY
801 ROPER CREEK DR
GREENVILLE, SC
ZIP 29615
Phone: (864) 297-0080
Fax: (864) 297-4588

Get Directions


Mailing Address

BON SECOURS RHEUMATOLOGY
PO BOX 639856
CINCINNATI, OH
ZIP 45263
Phone: (864) 297-0080
Fax: (864) 297-4588



Authorized Official

Authorized Official Name WILBUR R GAY III
Authorized Official TitleCFO
Authorized Official Phone(864) 605-3762

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1093036121 is:

CLIA Number42D0932738
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235560749ST FRANCIS PHYSICIAN SERVICES INC
Organization
Obstetrics & Gynecology801 ROPER CREEK DR
GREENVILLE, SC 29615
(864) 255-1554
1003013616 KATHLEEN VALESKA WOSCHKOLUP MD
Individual
Psychiatry & Neurology (Neurology)801 ROPER CREEK DR
GREENVILLE, SC 29615
(864) 516-1170
1093163511ST FRANCIS PHYSICIAN SERVICES INC
Organization
Psychiatry & Neurology (Neurology)801 ROPER CREEK DR
GREENVILLE, SC 29615
(864) 516-1170

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.