CENTENNIAL MEDICAL GROUP EAST, LLC
NPI 1134243249
Obstetrics & Gynecology in Roseburg, OR
NPI Status: Active since March 16, 2007
Contact Information
1937 W HARVARD AVE
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-7200
Fax: (541) 229-3309
- Organization
- Obstetrics & Gynecology
- CLIA Number: 38D0627341
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-31-2025
About CENTENNIAL MEDICAL GROUP EAST, LLC
This page provides the complete NPI Profile along with additional information for Centennial Medical Group East, Llc, a women's health care provider established in Roseburg, Oregon operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1134243249 assigned on March 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kimberly Tyree (Coo)
- NPI
- 1134243249
- Provider Name
- CENTENNIAL MEDICAL GROUP EAST, LLC
- Entity Type
- Organization
- Location Address
- 1937 W HARVARD AVE ROSEBURG, OR 97471
- Location Phone
- (541) 677-7200
- Location Fax
- (541) 229-3309
- Mailing Address
- 2570 NW EDENBOWER BLVD ROSEBURG, OR 97471
- Mailing Phone
- (541) 677-7200
- Mailing Fax
- (541) 229-3309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2007
- Last Update Date
- 05-01-2020
- Code Navigator
Women's health care providers like Centennial Medical Group East, Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- OR
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0627341
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2024
- Certificate Expiration Date
- December 31, 2025
- Laboratory Director
- TIMOTHY J. POWELL MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Centennial Medical Group East, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CENTENNIAL MEDICAL GROUP EAST, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 2 | 4 | 3 | 2 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 4 | 4 | 6 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 4 + 4 + 6 + 2 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1134243249 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235688805 | CENTENNIAL MEDICAL GROUP EAST, LLC Organization | Clinic/Center (Rural Health) | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1689647844 | TIMOTHY J POWELL MD Individual | Family Medicine | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1548226582 | DR. JAIRUS SATHIANATHAN MD Individual | Internal Medicine | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1700987203 | AMBER R. MILLER D.O. Individual | Pediatrics | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1487727988 | MARY E POWELL MD Individual | Obstetrics & Gynecology | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1174700934 | MATTHEW T STARK PA-C. Individual | Physician Assistant (Medical) | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1760894760 | ELIZABETH C OLER M.D. Individual | Obstetrics & Gynecology | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1639703549 | STACIE L. HANNA CNM Individual | Advanced Practice Midwife | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1346777950 | EMMANUEL OKENYE Individual | Internal Medicine | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1255866489 | BRITAIN LARSON PARRISH MD Individual | Family Medicine | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1295269082 | ANCA M DAUER DO Individual | Family Medicine | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1598433823 | ANGELINA C. MAREZ CHW Individual | Community Health Worker | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 229-3332 |
| 1407517931 | KOLBY WADE CNM Individual | Advanced Practice Midwife | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1639830268 | CECELIA LYNN Individual | Community Health Worker | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1285371658 | DAVID MYHILL CHW Individual | Community Health Worker | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1447998521 | CYNTHIA JAMES CCMA/CHW Individual | Community Health Worker | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1811343155 | DR. ALYSSA SUSAN EMO DO Individual | Obstetrics & Gynecology | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1730564519 | JOSHUA CALEB MABRAY Individual | Counselor (Professional) | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1851590400 | RYAN PAUL MELTON LPC Individual | Counselor (Professional) | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
| 1376936732 | PAMELA H ELLENBURG DO Individual | Family Medicine | 1937 W HARVARD AVE ROSEBURG, OR 97471 (541) 677-7200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134243249, enumerated in the NPI registry as an "organization" on March 16, 2007
The provider is located at 1937 W Harvard Ave Roseburg, Or 97471 and the phone number is (541) 677-7200
This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X
The provider's CLIA number is 38D0627341 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.