Frederic J Vandis
CENTENNIAL MEDICAL GROUP INC


Address: 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Phone: 5416774312

Frederic J Vandis (NPI# 1093786261, PAC ID# 9234122995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1093786261
PAC ID by PECOS 9234122995
Professional Enrollment ID I20040610001502
Full Name Frederic J Vandis
Organization Legal Name CENTENNIAL MEDICAL GROUP INC
Address 2700 Nw Stewart Pkwy
Roseburg
OR 97471-1281
Phone Number 5416774312
Gender M
Credential MD
Medical School UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year 1976
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 6103982962
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380027 MERCY MEDICAL CENTER

Other Locations

Address Phone Organization
2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 5416774312 CENTENNIAL MEDICAL GROUP INC
2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 5416776140 MERCY MEDICAL CENTER, INC.
2801 Nw Mercy Dr, Roseburg, OR 97471-2348 CENTENNIAL MEDICAL GROUP INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name CENTENNIAL MEDICAL GROUP INC
Physicians 40

Physicians with the same organization

Name Specialty Organization Address
Micah D Tovey Podiatry Centennial Medical Group Inc 2460 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1516
Nelson G Madrilejo Internal Medicine Centennial Medical Group Inc 1801 16th St A, Bakersfield, CA 93301-5002
Subhajit Mukherjee Gastroenterology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Anjali Gupta Nephrology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Bret R Hansen General Surgery Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Brent L Soder General Surgery Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Vikas Garg Gastroenterology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Charles T Mcglade Diagnostic Radiology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Ashraf Abusara Interventional Cardiology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Courtney R Virgilio Cardiovascular Disease (cardiology) Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281

Office Location

Street Address 2700 NW STEWART PKWY
City ROSEBURG
State OR
Zip 97471-1281

Physicians in the same location

Name Specialty Organization Address
Kurt A Brickner Internal Medicine Galen Inpatient Physicians Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Bala Arul V Krishnan Anesthesiology Roseburg Anesthesiology Specialists PC 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281
Siobhan A Oreilly Hospitalist Galen Inpatient Physicians Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Subhajit Mukherjee Gastroenterology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Preeti Satyanarayana Hospitalist Galen Inpatient Physicians Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Eric T Ory Emergency Medicine Cep America LLC 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Anjali Gupta Nephrology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Lance J Caddy Anesthesiology Roseburg Anesthesiology Specialists PC 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281
Kolby Walker Psychiatry Cep America - Psychiatry PC 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Aaron D Anderson Diagnostic Radiology Roseburg Radiologists PC 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
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Physicians in the same zip code

Name Specialty Organization Address
Michael Brown Radiation Oncology Roseburg Oncology PC 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201
Sylvia Gosline Radiation Oncology Roseburg Oncology PC 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201
Randy L Moore Radiation Oncology Roseburg Oncology PC 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201
Scott R Moore Physician Assistant Roseburg Oncology PC 2880 Nw Stewart Pkwy, Roseburg, OR 97471-1201
Joshua Michael Weese Hematology/oncology Steelhead Specialty Group PC 2880 Nw Stewart Pkwy, Suite 300, Roseburg, OR 97471-1205
Stephen A Williams Hematology/oncology Steelhead Specialty Group PC 2880 Nw Stewart Pkwy, Suite 300, Roseburg, OR 97471-1205
Sara M Ray Nurse Practitioner Steelhead Specialty Group PC 2880 Nw Stewart Pkwy, Suite 300, Roseburg, OR 97471-1205
Bret R Hansen General Surgery Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Brent L Soder General Surgery Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Vikas Garg Gastroenterology Centennial Medical Group Inc 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Find all physicians in zip 97471

Competitor

Search similar physicians

City ROSEBURG
Zip Code 97471
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty ROSEBURG + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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