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CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS
NPI 1033365135
Internal Medicine - Cardiovascular Disease in Roseburg, OR

Active since August 08, 2008CLIA 38D2001337 · Accreditation
2801 NW MERCY DR STE 300, ROSEBURG, OR 97471(541) 677-1555(541) 677-1554 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centennial Shaw Heart & Vascular Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS (NPI 1033365135) is a healthcare organization registered as a cardiovascular disease in Roseburg, Oregon and active in the NPI registry since August 2008. The organization holds an CLIA Accreditation certificate valid through October 19, 2026 and lists Aric Groshong, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033365135
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCENTENNIAL MEDICAL GROUP INC.
Location Address2801 NW MERCY DR STE 300Roseburg, OR 97471-2348
Mailing Address201 Nw Medical Loop Ste 190Roseburg, OR 97471-8835 · (541) 677-4319 · Fax (541) 677-2294
Phone(541) 677-1555
Fax(541) 677-1554
Organization SubpartNo
Authorized OfficialAric GroshongMedical Director · (541) 677-4319
Enumeration DateAugust 8, 2008
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1033365135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 141133 (OR)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
2801 NW MERCY DR STE 300, Roseburg, OR 97471
Open in Google Maps ↗

Other Names 1

Doing Business AsCentennial Shaw Heart & Vascular Specialists

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D2001337

Centennial Medical Group Inc Dba The Pathologists At Mercy · Roseburg, OR
Active · expires Oct 19, 2026
CLIA Number38D2001337
Laboratory TypeHospital
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Claire Pollard
Laboratory Phone(541) 677-2481
Laboratory LocationCentennial Medical Group Inc Dba The Pathologists At Mercy2700 Stewart Parkway, Roseburg, OR 97471
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL PETERSON PA-C
Physician Assistant
2801 NW MERCY DR STE 300
ROSEBURG, OR 97471
Douglas County (541) 677-1555
DOUGLAS EDWARD ANDERSON MD
Internal Medicine (Cardiovascular Disease)
2801 NW MERCY DR STE 300
ROSEBURG, OR 97471
Douglas County (541) 677-1555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Medical Group Inc.'s NPI number?

The NPI number for Centennial Medical Group Inc. is 1033365135. It was assigned to this organization in the NPPES registry on August 8, 2008. The provider is doing business as Centennial Shaw Heart & Vascular Specialists.

Where is Centennial Medical Group Inc. located?

Centennial Medical Group Inc. is located at 2801 NW Mercy Dr Ste 300, Roseburg, OR 97471. The listed phone number is (541) 677-1555.

What is Centennial Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Centennial Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 38D2001337) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group Inc. was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.