GERALD ENGSTROM, MD – NPI #1891003497
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

GERALD ENGSTROM, MD is a provider located in ROSEBURG, OR. NPPES has assigned the NPI number 1891003497 to GERALD ENGSTROM, MD on September 16, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GERALD ENGSTROM, MD” is a dba name, the actual legal business name for this organization is CENTENNIAL MEDICAL GROUP WEST, LLC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

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 GERALD ENGSTROM, MD below.

NPI Profile for
CENTENNIAL MEDICAL GROUP WEST, LLC

NPI Number
1891003497
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTENNIAL MEDICAL GROUP WEST, LLC
Doing Business As (dba): GERALD ENGSTROM, MD
Primary location
2801 NW MERCY DR
SUITE 345
ROSEBURG, OR 97471-2348
Phone: (541) 677-2494 Fax: (541) 677-2294
Mailing address
Same as primary location
Organization Subpart
Yes - GERALD ENGSTROM, MD is subpart of another organization.
Authorized Official
RAHUL AGARWAL
PRESIDENT
Phone: (541) 677-2494
Updated
Taxonomy Code(s)

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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 OR MD15315

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.