Anjali Gupta (NPI# 1104074715, PAC ID# 4688728322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1104074715 |
| PAC ID by PECOS | 4688728322 |
| Professional Enrollment ID | I20140702002003 |
| Full Name | Anjali Gupta |
| Organization Legal Name | CENTENNIAL MEDICAL GROUP INC |
| Address |
2700 Nw Stewart Pkwy Roseburg OR 97471-1281 |
| Phone Number | 5416774312 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 6103982962 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380027 | MERCY MEDICAL CENTER |
| 381304 | SOUTHERN COOS HOSPITAL & HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2460 Nw Stewart Pkwy, Roseburg, OR 97471-1516 | CENTENNIAL MEDICAL GROUP INC | |
| 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 5416774312 | CENTENNIAL MEDICAL GROUP INC |
| Organization Legal Name | CENTENNIAL MEDICAL GROUP INC |
| Physicians | 40 |
| 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 |
| Frederic J Vandis | Cardiovascular Disease (cardiology) | 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 |
| Street Address |
2700 NW STEWART PKWY |
| City | ROSEBURG |
| State | OR |
| Zip | 97471-1281 |
| 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 |
| Frederic J Vandis | Cardiovascular Disease (cardiology) | 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 |
| Find all physicians in the same address | |||
| 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 | |||
| City | ROSEBURG |
| Zip Code | 97471 |
| Specialty | NEPHROLOGY |
| City + Specialty | ROSEBURG + NEPHROLOGY |
Please comment or provide details below to improve the information on Anjali Gupta.
| 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.