1922977297 NPI number — ROPER ST. FRANCIS SPECIALTY PHYSICIANS

Table of content: KONSTANTINOS EPAMINONDAS MELISSINOS OT (NPI 1518106111)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922977297 NPI number — ROPER ST. FRANCIS SPECIALTY PHYSICIANS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROPER ST. FRANCIS SPECIALTY PHYSICIANS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922977297
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 632709
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-2709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-472-0043
Provider Business Mailing Address Fax Number:
843-724-2440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8536 PALMETTO COMMERCE PKWY STE 501
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LADSON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29456-6700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-958-2590
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2025

Additional Information

Authorized Official

Authorized Official Last Name:
WOLPERT
Authorized Official First Name:
NICOLE
Authorized Official Middle Name:
Authorized Official Title or Position:
REIMBURSEMENT COORDINATOR
Authorized Official Telephone Number:
843-789-1633

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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