Centennial Medical Group Inc.
NPI 1518103274ActiveOrganization· Surgery· Roseburg, OR
Surgery in Roseburg, Oregon, registered in NPPES in December 2008, part of Centennial Medical Group Inc. The authorized official on file is Donna Raylene Van Dis, Credentialing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518103274 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centennial Medical Group Inc. |
| NPI issued | Dec 31, 2008 |
| Last updated in NPPES | Nov 25, 2019 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Surgery providers in Roseburg
- 1013450287
- 1215106133
- 1841463064
- 1003832619
- 1588679955
- 1164406211
- 1457327058
- 1356517098
- 1538543012
- 1164782728
- 1992887103
- 1649252008