Centennial Medical Group, Inc in Roseburg - Urology
Centennial Medical Group, Inc - NPI 1225207152
Centennial Medical Group, Inc is a Urology in Roseburg, Oregon. Centennial Medical Group, Inc practices all healthcare services and medical treatments related to Urology. The NPI Number for Centennial Medical Group, Inc is 1225207152. The last update date is 2012-04-04.
Centennial Medical Group, Inc's current location address is P.o. Box 910, Roseburg, Oregon. You can contact this provider via phone number 5416776141 and fax number 5416776143. The mailing address for Centennial Medical Group, Inc is P.o. Box 910, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centennial Medical Group, Inc |
|---|---|
| Address | P.o. Box 910, Roseburg, Oregon |
| Phone Number | 5416776141 |
| Fax Number | 5416776143 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gray Jason |
| Credentials | MD |
| Telephone Number | 5416772494 |
NPI Number Detail
| NPI Number | 1225207152 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | P.o. Box 910 |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 97470 |
| Phone Number | 5416776141 |
| Fax Number | 5416776143 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 497634-93 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 171678 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Centennial Medical Group, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Centennial Medical Group, Inc has been assigned the NPI (National Provider Identifier) 1225207152. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Centennial Medical Group, Inc's facilities are geographically located?
The facilities of Centennial Medical Group, Inc are physically situated at the following location: P.O. Box 910, Roseburg, OR, 97470.
What is Centennial Medical Group, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Centennial Medical Group, Inc's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
When was the Centennial Medical Group, Inc's 1225207152 issued?
The Centennial Medical Group, Inc's 1225207152 was issued on 2008-02-25.
When was the Centennial Medical Group, Inc's information last updated?
The Centennial Medical Group, Inc's information was last updated on 2012-04-04.
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