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DBA ROSEBURG UROLOGY
NPI 1225207152
Urology in Roseburg, OR

Active since February 25, 2008
2460 NW STEWART PARKWAY,, SUITE 100, ROSEBURG, OR 97471(541) 677-6141(541) 677-6143 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dba Roseburg Urology NPPES

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

DBA ROSEBURG UROLOGY (NPI 1225207152) is a healthcare organization registered as an urology in Roseburg, Oregon and active in the NPI registry since February 2008. The organization lists Jason Gray, President, as its authorized official.

NPPES Registry Identity

NPI1225207152
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCENTENNIAL MEDICAL GROUP, INC
Location Address2460 NW STEWART PARKWAY,, SUITE 100Roseburg, OR 97471
Mailing AddressP.o. Box 910Roseburg, OR 97470 · (541) 677-6141 · Fax (541) 677-6143
Phone(541) 677-6141
Fax(541) 677-6143
Organization SubpartNo
Authorized OfficialJason GrayPresident · (541) 677-2494
Enumeration DateFebruary 25, 2008
Last NPPES UpdateApril 4, 2012
✔ NPI 1225207152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OR · 497634-93
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2460 NW STEWART PARKWAY,, Roseburg, OR 97471
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Other Names 1

Doing Business AsDba Roseburg Urology

Other Identifiers 2

Medicare PINR0000ZGBFMOR
Medicaid171678OR

Group Practice 1

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

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 1225207152. It was assigned to this organization in the NPPES registry on February 25, 2008. The provider is doing business as Dba Roseburg Urology.

Where is Centennial Medical Group, Inc located?

Centennial Medical Group, Inc is located at 2460 NW Stewart Parkway, Suite 100, Roseburg, OR 97471. The listed phone number is (541) 677-6141.

What is Centennial Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group, Inc was last updated on April 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.