Physician Compare National (NPI:1700301660)

HEALTHCARE PROVIDER: JEWEL HINGOLA SONGO PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1700301660
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022381300
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170907003604
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SONGO
	Individual professional last name
Provider First Name	JEWEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	848 SCIOTO ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2A
	Group Practice or individual's line 2 address
City	URBANA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	430782255
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y