OrganizationActive
Roseburg Heart Associates PC
NPI 1730308529 · Cardiovascular Disease Physician · Roseburg, OR
Provider details
- NPI number
- 1730308529
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederic Van Dis, President(541) 677-6521
- License
- MD12356 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2700 Nw Stewart Pkwy
Suite 200
Roseburg, OR 97470-1281
Phone: (541) 677-6521
Street-level locationGet directions
Mailing address
2700 Nw Stewart Pkwy
Roseburg, OR 97470-1281
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.