Ambulatory Foot Center PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP00291 Issued in OR

Legal business name

AMBULATORY FOOT CENTER PC

Practice address

1619 NW Hawthorne Ave Ste 110
Grants Pass, OR 97526-6008

Phone

(541) 471-7056

NPI assigned

Apr 23, 2007

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark L Simchuk, DPMNPI 1518967447

Title

Excutive Officer

Phone

(541) 471-7056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: kylevillaruz@ambufc.allscriptsdirect.net
• Direct secure messaging: marksimchuk@ambufc.allscriptsdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Simchuk, DPM

  • Podiatrist
  • Grants Pass, OR
  • NPI 1518967447
  Medicare reassignment NPD Authorized official
• Christine Meis, DPM

  • Podiatrist
  • Grants Pass, OR
  • NPI 1346240272
  Medicare reassignment NPD
• Kyle James Villaruz, DPM

  • Podiatrist
  • Grants Pass, OR
  • NPI 1770079659

  Single Specialty

  Medicare reassignment NPD
• David M Appleby, MD

  • Orthopaedic Hand Surgery Physician
  • Grants Pass, OR
  • NPI 1831192749
  NPD (past)
• Dainis Irbe, M.D.

  • Specialist
  • Eugene, OR
  • NPI 1013979665
  NPD (past)
• Carey Janzik, PA-C

  • Surgical Physician Assistant
  • Grants Pass, OR
  • NPI 1982603395
  NPD (past)
• Bruce E. Perry, MD

  • Orthopaedic Surgery Physician
  • Gold Beach, OR
  • NPI 1396742045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1063630291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE",
            "address_2": "STE 110",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-471-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE AVE STE 110",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266008",
            "telephone_number": "541-471-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY FOOT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "SIMCHUK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXCUTIVE OFFICER",
        "authorized_official_telephone_number": "541-471-7056",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Amaral, B.S.,QMHA
• Tyler William Amaral
• Jessica Cheyanne Amaranthus, RN
• Gabriella Amarei, PMHNP
• Diana Marie Amble
• American Medical Response Northwest Inc (American Medical Response (AMR))
• John Michael Amicarella, LMT
• Shannon Analla, MSN, FNP-C
• Jonathan Anders
• Cheryl Andersen

• Foot & Ankle Surgery Podiatrist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.