CENTENNIAL MEDICAL GROUP INC.
NPI 1518103274
Surgery in Roseburg, OR
NPI Status: Active since December 31, 2008
Contact Information
201 NW MEDICAL LOOP STE 190
ROSEBURG, OR
ZIP 97471
Phone: (541) 644-4319
Fax: (541) 677-2294
- Organization
- Surgery
- Accepts Insurance
About CENTENNIAL MEDICAL GROUP INC.
This page provides the complete NPI Profile along with additional information for Centennial Medical Group Inc., a provider established in Roseburg, Oregon operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1518103274 assigned on December 2008. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Centennial Medical Group Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Donna Raylene Van Dis (Credentialing Coordinator)
- NPI
- 1518103274
- Provider Name
- CENTENNIAL MEDICAL GROUP INC.
- Entity Type
- Organization
- Location Address
- 201 NW MEDICAL LOOP STE 190 ROSEBURG, OR 97471
- Location Phone
- (541) 644-4319
- Location Fax
- (541) 677-2294
- Mailing Address
- 201 NW MEDICAL LOOP STE 190 ROSEBURG, OR 97471
- Mailing Phone
- (541) 644-4319
- Mailing Fax
- (541) 677-2294
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-31-2008
- Last Update Date
- 11-25-2019
- Code Navigator
A surgeon like Centennial Medical Group Inc. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | |
| 6 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 7 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500601997 | MEDICAID (05) | OR |
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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 1518103274, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518103274, enumerated as an "organization" on December 31, 2008.
The provider is located at 201 NW MEDICAL LOOP STE 190 ROSEBURG, OR 97471 and the phone number is (541) 644-4319.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, BridgeSpan. Please consult your insurance carrier or call the provider to verify.
