Jenna Gongola (NPI# 1194810242, PAC ID# 3072534429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194810242 |
| PAC ID by PECOS | 3072534429 |
| Professional Enrollment ID | I20110128000015 |
| Full Name | Jenna Gongola |
| Organization Legal Name | RANDOLPH COUNTY EYE CARE CENTER PC |
| Address |
219 /250 Rr Elkins WV 26241 |
| Phone Number | 3046363887 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7517988959 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 219 /250 Rr, Elkins, WV 26241 | 3046363887 | RANDOLPH COUNTY EYE CARE CENTER PC |
| Organization Legal Name | RANDOLPH COUNTY EYE CARE CENTER PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Robert Lambert | Optometry | Randolph County Eye Care Center PC | 219 /250 Rr, Elkins, WV 26241 |
| Street Address |
219 /250 RR |
| City | ELKINS |
| State | WV |
| Zip | 26241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Robert Lambert | Optometry | Randolph County Eye Care Center PC | 219 /250 Rr, Elkins, WV 26241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Facello | Family Practice | Davis Memorial Hospital | 911 Gorman Ave, Suite 301and304, Elkins, WV 26241-3082 |
| David Currence | Family Medicine | 909 Gorman Ave, Suite 4, Elkins, WV 26241-3100 | |
| Richard E Piccirillo | Internal Medicine | 909 Gorman Ave, Suite 6, Elkins, WV 26241-3100 | |
| David C Tingler | Cardiovascular Disease (cardiology) | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
| Ashlee Kristine Okernick | Physician Assistant | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
| Janel Christine Trovato-vass | Nurse Practitioner | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
| Jessica Ann Wood | Nurse Practitioner | United Hospital Center Inc | 903 Gorman Ave, Elkins, WV 26241-3149 |
| Ashley M Nestor | Physician Assistant | West Virginia University Medical Corporation | 903 Gorman Ave, Elkins, WV 26241-3149 |
| John A Mcknight | Cardiovascular Disease (cardiology) | United Hospital Center Inc | 903 Gorman Ave, Elkins, WV 26241-3149 |
| Jenny L Cross | Otolaryngology | 911 Gorman Ave, Suite 201, Elkins, WV 26241-3154 | |
| Find all physicians in zip 26241 | |||
| City | ELKINS |
| Zip Code | 26241 |
| Specialty | OPTOMETRY |
| City + Specialty | ELKINS + OPTOMETRY |
Please comment or provide details below to improve the information on Jenna Gongola.
| 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.