OrganizationActive
Roper Hospital, Inc.
NPI 1205388618 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Summerville, SC
Provider details
- NPI number
- 1205388618
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Jackson, Ceo(843) 724-2954
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Callen Blvd Ste 220
Summerville, SC 29486-2816
Phone: (843) 724-2289
Fax: (843) 606-8038
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751649
Charlotte, NC 28275-1649
Other names (DBA / former)
- Doing business as
- Vascular Medicine and Wound Management Clinic
Registry dates
- Enumerated
- 2016-11-02
- Last updated
- 2024-03-17
- Certified
- 2024-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.