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ROSEBURG HEART ASSOCIATES PC
NPI 1730308529
Internal Medicine - Cardiovascular Disease in Roseburg, OR

Active since April 24, 2007
2700 NW STEWART PKWY, SUITE 200, ROSEBURG, OR 97470(541) 677-6521 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roseburg Heart Associates Pc NPPES

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

ROSEBURG HEART ASSOCIATES PC (NPI 1730308529) is a healthcare organization registered as a cardiovascular disease in Roseburg, Oregon and active in the NPI registry since April 2007. The organization lists Frederic J Van Dis, President, as its authorized official.

NPPES Registry Identity

NPI1730308529
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameROSEBURG HEART ASSOCIATES PC
Location Address2700 NW STEWART PKWY, SUITE 200Roseburg, OR 97470-1281
Mailing Address2700 Nw Stewart Pkwy, Suite 200Roseburg, OR 97470-1281 · (541) 677-6521
Phone(541) 677-6521
Organization SubpartNo
Authorized OfficialFrederic J Van DisPresident · (541) 677-6521
Enumeration DateApril 24, 2007
Last NPPES UpdateOctober 30, 2007
✔ NPI 1730308529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OR · MD12356
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.
2700 NW STEWART PKWY, Roseburg, OR 97470
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Other Identifiers 1

Medicare PINR114985OR

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

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.

LANETTE VO PHARMD
Pharmacist
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 677-2100
BHANU PRASAD PALADUGU MD
Internal Medicine
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (561) 677-1773
COMMONSPIRIT OREGON
Psychiatric Unit
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 677-2458
JASON FREDRICK GRAY MD
Anesthesiology
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 673-0611
WILLIAM S TRELOAR DO
Emergency Medicine
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 677-4313
DR. DAVID MARC SMITH MD
Emergency Medicine
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 584-2345
CHRIS ANTHONY JANNELLI M.D.
Internal Medicine
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 677-4313
MR. MARK A JOHNSON BS
Pharmacist (Pharmacotherapy)
2700 NW STEWART PKWY
ROSEBURG, OR 97470
Douglas County (541) 677-3607

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 Roseburg Heart Associates PC's NPI number?

The NPI number for Roseburg Heart Associates PC is 1730308529. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Roseburg Heart Associates PC located?

Roseburg Heart Associates PC is located at 2700 NW Stewart Pkwy Suite 200, Roseburg, OR 97470. The listed phone number is (541) 677-6521.

What is Roseburg Heart Associates PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Roseburg Heart Associates PC was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.