Mark Simchuk is a Podiatrist in Grants Pass, Oregon. Mark Simchuk practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark Simchuk is 1518967447. The last update date is 2012-04-30.
Mark Simchuk's current location address is 1619 Nw Hawthorne Ave, Grants Pass, Oregon. You can contact this provider via phone number 5414717056 and fax number 5414743201. The mailing address for Mark Simchuk is 1619 Nw Hawthorne Ave, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Simchuk |
|---|---|
| Address | 1619 Nw Hawthorne Ave, Grants Pass, Oregon |
| Phone Number | 5414717056 |
| Fax Number | 5414743201 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1518967447 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2012-04-30 |
Provider Mailing Address Detail
| Address | 1619 Nw Hawthorne Ave |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975266008 |
| Phone Number | 5414717056 |
| Fax Number | 5414743201 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00291 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150459 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Simchuk by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Simchuk has been assigned the NPI (National Provider Identifier) 1518967447. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark Simchuk?
The Mark Simchuk is situated at 1619 Nw Hawthorne Ave, in the city of Grants Pass, state of OR, with the zip code 975266008.
What is the Mark Simchuk's specialty and taxonomy code?
The Mark Simchuk's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Mark Simchuk receive the assignment of its 1518967447 from the Centers for Medicare & Medicaid Services?
The Mark Simchuk was issued its 1518967447 by the Centers for Medicare & Medicaid Services on 2005-07-21.
As of what date was the information pertaining to Mark Simchuk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Simchuk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-30.