Jeff V Wongskhaluang (NPI# 1821228677, PAC ID# 5395989230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1821228677 |
| PAC ID by PECOS | 5395989230 |
| Professional Enrollment ID | I20130916000769 |
| Full Name | Jeff V Wongskhaluang |
| Organization Legal Name | MILTON B GRIN MD PA |
| Address |
1020 Main St Grandview MO 64030-2456 |
| Phone Number | 8163665124 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3870493752 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170049 | OLATHE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1020 Main St, Grandview, MO 64030-2456 | 8163665124 | MILTON B GRIN MD PA |
| 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 | 9138295511 | MILTON B GRIN MD PA |
| Organization Legal Name | MILTON B GRIN MD PA |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Pope Johnson | Optometry | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Jamie D Mcgowan | Optometry | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Barbara D Wolock | Ophthalmology | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Lori D Berwald | Optometry | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Brian W Heiniger | Ophthalmology | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Breanne M Niebuhr | Optometry | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Jeffry D Gerson | Optometry | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Emily M Enright | Optometry | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Kenneth C Place | Ophthalmology | Milton B Grin Md Pa | 21020 W 151st St, Grin Eye Care, Olathe, KS 66061-7200 |
| Street Address |
1020 MAIN ST |
| City | GRANDVIEW |
| State | MO |
| Zip | 64030-2456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nazmi A Elrabie | General Surgery | 1020 Main St, Paterson, NJ 07503-2244 | |
| Gina Lyn Miller | Nurse Practitioner | Calcasieu Cameron Hospital Service District | 1020 Main St, Hackberry, LA 70645-3303 |
| Ruta Bondarenko | Nurse Practitioner | Vytaliz Medical | 1020 Main St, Paterson, NJ 07503-2244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Gregory Romero | Physical Therapy | Serc Rehabilitation Partners LLC | 11902 Blue Ridge Ext, Suite 11906b, Grandview, MO 64030-1100 |
| Kyunghwan An | Chiropractic | 12121 Blue Ridge Ext, Suite A, Grandview, MO 64030-1103 | |
| Christa D Dawson | Optometry | Premier Eyecare and Eyewear | 12220 Blue Ridge Ext J, Grandview, MO 64030-1175 |
| Lisa M Moravac | Physician Assistant | American Current Care of Kansas Pa | 12220 Blue Ridge Ext A, Concentra Urgent Care, Grandview, MO 64030-1175 |
| Doris Zhong | Family Medicine | American Current Care of Kansas Pa | 12220 Blue Ridge Ext A, Concentra Urgent Care, Grandview, MO 64030-1175 |
| Arthur Ziporin | Internal Medicine | American Current Care of Kansas Pa | 12220 Blue Ridge Ext A, Concentra Urgent Care, Grandview, MO 64030-1175 |
| Christina J Kelly | Physician Assistant | American Current Care of Kansas Pa | 12220 Blue Ridge Ext A, Concentra Urgent Care, Grandview, MO 64030-1175 |
| Lori K Swopes | Optometry | Premier Eyecare and Eyewear | 12220 Blue Ridge Ext J, Grandview, MO 64030-1175 |
| Miguel Perez | Nurse Practitioner | American Current Care of Kansas Pa | 12220 Blue Ridge Ext A, Concentra Urgent Care, Grandview, MO 64030-1175 |
| Dara M Angell | Physician Assistant | Jayhawk Primary Care Inc | 12121 Blue Ridge Ext, Suite M, Grandview, MO 64030-1193 |
| Find all physicians in zip 64030 | |||
| City | GRANDVIEW |
| Zip Code | 64030 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GRANDVIEW + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jeff V Wongskhaluang.
| 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.