CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS – NPI #1033365135
Internal Medicine
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.
CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS is a provider located in ROSEBURG, OR. NPPES has assigned the NPI number 1033365135 to CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS on August 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS” is a dba name, the actual legal business name for this organization is CENTENNIAL MEDICAL GROUP INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 6 years ago on Sep 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTENNIAL SHAW HEART & VASCULAR SPECIALISTS below.
NPI Profile for
CENTENNIAL MEDICAL GROUP INC.
(about 18 years ago)
ROSEBURG, OR 97471-2348 Phone: (541) 677-1555 Fax: (541) 677-1554
ROSEBURG, OR 97471-8835 Phone: (541) 677-4319 Fax: (541) 677-2294
MEDICAL DIRECTOR
Phone: (541) 677-4319
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
||
| 2085R0204X - Radiology / Vascular & Interventional Radiology |
||
| 207RI0011X - Internal Medicine / Interventional Cardiology |
OR | 141133 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.