CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS
NPI 1033365135
Internal Medicine - Cardiovascular Disease in Roseburg, OR
NPI Status: Active since August 08, 2008
Contact Information
2801 NW MERCY DR STE 300
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-1555
Fax: (541) 677-1554
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 38D2001337
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-19-2026
About CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS
This page provides the complete NPI Profile along with additional information for Centennial Shaw Heart & Vascular Specialists, an internist established in Roseburg, Oregon operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1033365135 assigned on August 2008. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Centennial Shaw Heart & Vascular Specialists operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Centennial Shaw Heart & Vascular Specialists. The authorized official of this NPI record is Aric Groshong Md (Medical Director)
- NPI
- 1033365135
- Provider Legal Name
- CENTENNIAL MEDICAL GROUP INC.
- Other Organization Name
- CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2801 NW MERCY DR STE 300 ROSEBURG, OR 97471
- Location Phone
- (541) 677-1555
- Location Fax
- (541) 677-1554
- Mailing Address
- 201 NW MEDICAL LOOP STE 190 ROSEBURG, OR 97471
- Mailing Phone
- (541) 677-4319
- Mailing Fax
- (541) 677-1554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2008
- Last Update Date
- 09-22-2020
- Code Navigator
An internist like Centennial Shaw Heart & Vascular Specialists 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | 141133 (OR) |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 this NPI number is:
- CLIA Number
- 38D2001337
- Facility Type
- Hospital
- Certificate Effective Date
- October 20, 2024
- Certificate Expiration Date
- October 19, 2026
- Laboratory Director
- DR. CLAIRE POLLARD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Centennial Shaw Heart & Vascular Specialists on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033365135, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
ROSEBURG, OR 97471
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033365135, enumerated as an "organization" on August 08, 2008.
The provider is located at 2801 NW MERCY DR STE 300 ROSEBURG, OR 97471 and the phone number is (541) 677-1555.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
