Organization Active NPI

Monica Lominchar MD Internal Medicine and Palmetto WGT MGT Inc

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1275704959
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18021 Issued in SC
Legal business name
MONICA LOMINCHAR MD INTERNAL MEDICINE AND PALMETTO WGT MGT INC
Practice address
2079 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 554-8488
Fax
(843) 554-5445
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Monica D Lominchar, MDNPI 1770532764
Title
MD/Owner
Phone
(843) 554-8488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 18021 SC Primary

Addresses

Primary practice location

2079 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

2079 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 554-8488

Other identifiers 1

IdentifierTypeStateIssuer
GP3623MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000725 SC Part B Supplier - Clinic/Group Practice 3577465566 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

2079 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 554-8488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1275704959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-554-8488",
            "fax_number": "843-554-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-554-8488",
            "fax_number": "843-554-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA LOMINCHAR MD INTERNAL MEDICINE AND PALMETTO WGT MGT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "LOMINCHAR",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "843-554-8488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3623",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.