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CENTENNIAL SURGICAL ASSISTANTS
NPI 1063710192
Physician Assistant - Surgical in Roseburg, OR

Active since March 15, 2011
2700 NW STEWART PKWY, ROSEBURG, OR 97471(541) 677-2494(541) 677-2294 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Surgical Assistants NPPES

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

CENTENNIAL SURGICAL ASSISTANTS (NPI 1063710192) is a healthcare organization registered as a surgical in Roseburg, Oregon and active in the NPI registry since March 2011. The organization lists Rahul Agarwal, President, as its authorized official.

NPPES Registry Identity

NPI1063710192
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameCENTENNIAL MEDICAL GROUP WEST, LLC
Location Address2700 NW STEWART PKWYRoseburg, OR 97471-1281
Mailing Address2801 Nw Mercy Dr Ste 340Roseburg, OR 97471-2348 · (541) 677-2494 · Fax (541) 677-2294
Phone(541) 677-2494
Fax(541) 677-2294
Organization SubpartYesParent: Centennial Medical Group, Inc.
Authorized OfficialRahul AgarwalPresident · (541) 677-2494
Enumeration DateMarch 15, 2011
✔ NPI 1063710192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2700 NW STEWART PKWY, Roseburg, OR 97471
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Other Names 1

Doing Business AsCentennial Surgical Assistants

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CEP AMERICA-TELEHEALTH, PC
Psychiatry & Neurology (Psychiatry)
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 673-0611
COMMONSPIRIT OREGON
Surgery
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4319
ALEXANDRIA N BACHMEIER RNFA
Registered Nurse
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4845
LOIS FRANCIS-WOLF
Counselor
2700 NW STEWART PKWY, ANNEX A
ROSEBURG, OR 97471
Douglas County (541) 672-5667
MERCY MEDICAL CENTER
General Acute Care Hospital
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4845
SHAHAYLIE HUNTLEY
Community Health Worker
2700 NW STEWART PKWY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
MS. BEVERLY JEAN SHERWIN RPH
Pharmacist
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-2100
MANDY WENGERT RDH
Dental Hygienist
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4326

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 West, LLC's NPI number?

The NPI number for Centennial Medical Group West, LLC is 1063710192. It was assigned to this organization in the NPPES registry on March 15, 2011. The provider is doing business as Centennial Surgical Assistants.

Where is Centennial Medical Group West, LLC located?

Centennial Medical Group West, LLC is located at 2700 NW Stewart Pkwy, Roseburg, OR 97471. The listed phone number is (541) 677-2494.

What is Centennial Medical Group West, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group West, LLC was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.