Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centennial Medical Group Inc

Organization Cardiovascular Disease Physician · NPI 1033365135

Centennial Medical Group Inc is a Cardiovascular Disease Physician 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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