Provider Type Icon

CENTENNIAL MEDICAL GROUP WEST LLC NPI 1891003497


NPI Information

NPI: 1891003497
Provider Name: CENTENNIAL MEDICAL GROUP WEST, LLC

Doing Business As: GERALD ENGSTROM, MD

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
2801 NW MERCY DR
SUITE 345
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-2494
Get Directions

CENTENNIAL MEDICAL GROUP WEST, LLC is a gastroenterology internal medicine in Roseburg, OR. The provider is 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. CENTENNIAL MEDICAL GROUP WEST, LLC NPI is 1891003497. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gerald Engstrom, Md.

The provider's business location address is:

2801 NW MERCY DR
SUITE 345
ROSEBURG, OR
ZIP 97471-348
Phone: (541) 677-2494
Fax: (541) 677-2294

The provider's authorized official is Rahul Agarwal .
The authorized official title is President and has the following contact phone number (541) 677-2494.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyMD15315OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.