Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Centennial Medical Group Inc

Organization Cardiovascular Disease Physician · NPI 1033365135

Centennial Medical Group Inc provides Cardiovascular Disease Physician services in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 NW Mercy Dr Ste 300
Roseburg, OR 97471-2348
Phone: (541) 677-1555
Fax: (541) 677-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 141133 (OR)
Interventional Cardiology Physician Taxonomy 207RI0011X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1033365135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aric Groshong — Medical Director · (541) 677-4319
Other names Centennial Shaw Heart & Vascular Specialists
NPI enumeratedAugust 8, 2008
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835

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