DR. MARK SIMCHUK (NPI# 1518967447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518967447 |
| Entity Type | Individual |
| Full Name | DR. MARK SIMCHUK |
| Credential | DPM |
| Practice Address |
1619 Nw Hawthorne Ave Suite 110 Grants Pass OR 97526-6008 |
| Practice Telephone | 5414717056 |
| Practice Fax Number | 5414743201 |
| Mailing Telephone | 5414717056 |
| Mailing Fax Number | 5414743201 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2012-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00291 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150459 | 05 |
| Street Address |
1619 NW HAWTHORNE AVE SUITE 110 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742045 | Bruce Perry | Orthopaedic Surgery | 1619 Nw Hawthorne Ave, Ste 210, Grants Pass, OR 97526-6009 | 2005-07-07 |
| 1851788400 | Amanda Kamery | Podiatrist | 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008 | 2015-04-22 |
| 1255753380 | Providence Health & Services - Oregon | Physical Medicine & Rehabilitation | 1619 Nw Hawthorne Ave, Suite 206, Grants Pass, OR 97526-6008 | 2014-01-08 |
| 1548495757 | Arete Nw, LLC | Clinic/Center | 1619 Nw Hawthorne Ave, Suite 204, Grants Pass, OR 97526-6008 | 2009-05-18 |
| 1003095845 | Andrea Bishop Navarre | Physician Assistant | 1619 Nw Hawthorne Ave, Suite 101, Grants Pass, OR 97526-6008 | 2007-10-29 |
| 1326237769 | Action Rehabilitation & Sports Medicine, P.C. | Physical Therapist | 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 | 2007-10-22 |
| 1982616025 | Sorweide Family Medicine PC | Family Medicine | 1619 Nw Hawthorne Ave, Suite 101, Grants Pass, OR 97526-6008 | 2006-08-13 |
| 1104838093 | Hand and Arm Surgery of Southern Oregon, PC | Specialist | 1619 Nw Hawthorne Ave, Suite 106, Grants Pass, OR 97526-6008 | 2006-08-12 |
| 1639155344 | Rebecca L Harrold | Occupational Therapist | 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 | 2005-12-15 |
| 1093715922 | Heather Voss | Nurse Practitioner | 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008 | 2005-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839057 | John Castle | Podiatrist | 1227 Ne 7th St, Ste A, Grants Pass, OR 97526-1430 | 2005-05-24 |
| 1699001776 | Sean Patrick Dunn | Podiatrist | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2009-10-26 |
| 1346240272 | Christine Meis | Podiatrist | 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526-6008 | 2005-07-21 |
| 1003811894 | Monika Froehlich | Podiatrist | 495 Sw Ramsey Ave, Grants Pass, OR 97527 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869659 | Mid-columbia Medical Center | Podiatrist | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2017-02-03 |
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1689991804 | Cassandra Bree Tomczak | Podiatrist | 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | 2010-04-27 |
| 1326363839 | Kessa Mauras | Podiatrist | 1100 E. Marina Way, Suite 223, Hood River, OR 97031 | 2010-03-29 |
| 1598907537 | Joshua Johnson Boone | Podiatrist | 551 Lone Prine Blvd, The Dalles, OR 97058 | 2009-04-06 |
| 1699928168 | Kristy R Six | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1697 | 2008-10-28 |
| 1306093265 | Gilbert Alan Hice | Podiatrist | 953 Foots Creek Road, Gold Hill, OR 97525 | 2008-08-22 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on DR. MARK SIMCHUK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.