| Ambulatory Foot Center Pc | |
|
1619 Nw Hawthorne Ave Ste 110, Grants Pass, OR 97526-6008 | |
| (541) 471-7056 | |
| Not Available |
| Full Name | Ambulatory Foot Center Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1619 Nw Hawthorne Ave Ste 110, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063630291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00291 (Oregon) | Primary |
| Provider Name | Mark L Simchuk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518967447 PECOS PAC ID: 2163417783 Enrollment ID: I20040415000037 |
| Provider Name | Christine M Meis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346240272 PECOS PAC ID: 4183619703 Enrollment ID: I20040415000047 |
| Provider Name | Elise Janowak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083029870 PECOS PAC ID: 5193090611 Enrollment ID: I20171010002328 |
| Provider Name | Kyle James Villaruz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770079659 PECOS PAC ID: 1557741196 Enrollment ID: I20220629001570 |
| Mailing Address | Practice Location Address |
|---|---|
| Ambulatory Foot Center Pc 1619 Nw Hawthorne Ave, Ste 110, Grants Pass, OR 97526-6008 Ph: (541) 471-7056 | Ambulatory Foot Center Pc 1619 Nw Hawthorne Ave Ste 110, Grants Pass, OR 97526-6008 Ph: (541) 471-7056 |
Dr. Monika Froehlich, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 Fax: 541-472-5673 | |
Dr. John Castle, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1227 Ne 7th St, Ste A, Grants Pass, OR 97526 Phone: 541-471-3668 Fax: 541-471-4814 | |
Dr. Christine Meis, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526 Phone: 541-471-7056 Fax: 541-476-6690 | |
Dr. Mark Simchuk, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave, Suite 110, Grants Pass, OR 97526 Phone: 541-471-7056 Fax: 541-474-3201 | |
Dr. Sean Patrick Dunn, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 Fax: 541-472-5673 | |
Dr. Kyle James Villaruz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 110, Grants Pass, OR 97526 Phone: 541-471-7056 |