Mark L Simchuk (NPI# 1518967447, PAC ID# 2163417783) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1518967447 |
| PAC ID by PECOS | 2163417783 |
| Professional Enrollment ID | I20040415000037 |
| Full Name | Mark L Simchuk |
| Organization Legal Name | AMBULATORY FOOT CENTER PC |
| Address |
1619 Nw Hawthorne Ave Suite 110 Grants Pass OR 97526-6008 |
| Phone Number | 5414717056 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6406841006 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380002 | ASANTE THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526-6008 | 5414717056 | AMBULATORY FOOT CENTER PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | AMBULATORY FOOT CENTER PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elise Janowak | Podiatry | Ambulatory Foot Center PC | 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526-6008 |
| Street Address |
1619 NW HAWTHORNE AVE SUITE 110 |
| City | GRANTS PASS |
| State | OR |
| Zip | 97526-6008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Johnson | Nurse Practitioner | 1619 Nw Hawthorne Ave, Suite 204, Grants Pass, OR 97526-6009 | |
| Elise Janowak | Podiatry | Ambulatory Foot Center PC | 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526-6008 |
| Bruce Perry | Orthopedic Surgery | 1619 Nw Hawthorne Ave, Suite 210, Grants Pass, OR 97526-6009 | |
| Gail F Giltner | Nurse Practitioner | 1619 Nw Hawthorne Ave, Suite 101, Grants Pass, OR 97526-6008 | |
| Ronald L Lopez | Physical Therapy | 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 | |
| Heather K Huckert | Physical Therapy | Action Rehabilitation and Sports Medicine PC | 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith R Anderson | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Matthew A Fagert | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Keith A Jensen | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Joseph Fowler | Certified Registered Nurse Anesthetist (crna) | Rogue Anesthesia LLC | 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041 |
| Tori Lynn Rumrey | Nurse Practitioner | 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049 | |
| Robert M Gentry | Family Practice | Rumrey Family Practice, LLC | 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049 |
| Dan Phillip Gleffe | Family Medicine | 1587 Nw Washington Blvd, Grants Pass, OR 97526-1085 | |
| Melissa M Greive | General Surgery | Grants Pass Surgical Associates, P.C. | 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094 |
| David C Oehling | General Surgery | Grants Pass Surgical Associates, P.C. | 1600 Nw 6th St N, Grants Pass, OR 97526-1094 |
| Darlena Pike | Nurse Practitioner | Optimal Health of Southern Oregon, LLC | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 |
| Find all physicians in zip 97526 | |||
| City | GRANTS PASS |
| Zip Code | 97526 |
| Specialty | PODIATRY |
| City + Specialty | GRANTS PASS + PODIATRY |
Please comment or provide details below to improve the information on Mark L Simchuk.
| 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.