National Provider Identifier Database

CENTENNIAL MEDICAL GROUP INC
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.


Contact Information

CENTENNIAL MEDICAL GROUP INC.
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR97471-8835
Phone: 541-644-4319
Fax: 541-677-2294
Website:
Specialty Taxonomy Code
* Surgery 208600000X
Cardiovascular Disease 207RC0000X
Clinical Pathology/Laboratory Medicine 207ZP0105X
Gastroenterology 207RG0100X
Hospitalist 208M00000X
Pulmonary Disease 207RP1001X
Sleep Medicine 207RS0012X
Urology 208800000X

* Indicates primary specialty

NPI Profile & details for CENTENNIAL MEDICAL GROUP INC.

NPI Number 1518103274
Legal business name
LBN
CENTENNIAL MEDICAL GROUP INC.
Authorized official DONNA VAN DIS - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/31/2008
Last updated 11/25/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 500601997

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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