1. Home
  2. Directory
  3. Oregon
  4. Roseburg
  5. Surgery
  6. NPI Profile

CENTENNIAL MEDICAL GROUP INC.
NPI 1518103274
Surgery in Roseburg, OR

Active since December 31, 2008
201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 97471(541) 644-4319(541) 677-2294 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2019, Aug 18, 2017 (2 updates tracked since 2017).

About Centennial Medical Group Inc. NPPES

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

CENTENNIAL MEDICAL GROUP INC. (NPI 1518103274) is a healthcare organization registered as a surgery in Roseburg, Oregon and active in the NPI registry since December 2008. The organization lists Donna Raylene Van Dis, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1518103274
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCENTENNIAL MEDICAL GROUP INC.
Location Address201 NW MEDICAL LOOP STE 190Roseburg, OR 97471-8835
Mailing Address201 Nw Medical Loop Ste 190Roseburg, OR 97471-8835 · (541) 644-4319 · Fax (541) 677-2294
Phone(541) 644-4319
Fax(541) 677-2294
Organization SubpartYes
Authorized OfficialDonna Raylene Van DisCredentialing Coordinator · (541) 677-4319
Enumeration DateDecember 31, 2008
Last NPPES UpdateNovember 25, 20192 updates tracked since enumeration
✔ NPI 1518103274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
201 NW MEDICAL LOOP STE 190, Roseburg, OR 97471
Open in Google Maps ↗

Other Identifiers 1

Medicaid500601997OR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

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 1518103274. It was assigned to this organization in the NPPES registry on December 31, 2008.

Where is Centennial Medical Group Inc. located?

Centennial Medical Group Inc. is located at 201 NW Medical Loop Ste 190, Roseburg, OR 97471. The listed phone number is (541) 644-4319.

What is Centennial Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Centennial Medical Group Inc. accept?

Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Centennial Medical Group Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group Inc. was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.