CENTENNIAL MEDICAL GROUP INC.
CENTENNIAL MEDICAL GROUP INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033365135, based in Roseburg, OR. The organization lists 3 taxonomy classifications, with Cardiovascular Disease Physician recorded as primary.
Getting there
The practice address on file is 2801 NW MERCY DR STE 300, Roseburg, OR 97471. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 141133 | OR | Interventional Cardiology Physician |
This provider holds licence 141133 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Cardiovascular Disease covers
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. NUCC Health Care Provider Taxonomy, code 207RC0000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | 141133 | OR | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | — | — | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1033365135 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 8, 2008 |
| Last updated | Sep 22, 2020 |
| Status | Active |
| Practice address |
2801 NW MERCY DR STE 300 Roseburg, OR 97471 (541) 677-1555 Fax (541) 677-1554 |
| Mailing address |
201 NW MEDICAL LOOP STE 190 Roseburg, OR 97471 |
| Other names |
Centennial Shaw Heart & Vascular Specialists Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 3 | 6 | 5 | 1 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 6 | 6 | 1 | 1 | 6 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.