Active NPI
Carl Trinidad Lomboy, M.D.
- Cardiovascular Disease Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 36761
- Practice address
- 100 Perpetual SQ
Anderson, SC 29621-1713 - Phone
- (864) 261-7474
- Fax
- (864) 261-8581
- NPI assigned
- Apr 6, 2006
- Last updated
- Dec 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36761 | NC | Primary |
Addresses
Primary practice location
100 Perpetual SQ
Anderson, SC 29621-1713
Mailing address
100 Perpetual SQ
Anderson, SC 29621-1713
Phone (864) 261-7474
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52539 | Other | NC | BCBS OF NC PROVIDER ID# |
| Q36761 | Medicaid | SC | |
| 8952539 | Medicaid | NC | |
| P00869101 | Other | SC | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hickory Cardiology Associates PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Cardiovascular Disease | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Piedmont Rheumatology, P.a. | Past | Accepting new patients |
Locations
1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
Interoperability endpoints
- clomboy10770@direct.anmedhealth.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
dba Western Piedmont Heart Centers
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1083676928
-
- Rheumatology Physician
- Hickory, NC
- NPI 1346250214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1417919101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PERPETUAL SQ",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211713",
"telephone_number": "864-261-7474",
"fax_number": "864-261-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PERPETUAL SQ",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211713",
"telephone_number": "864-261-7474",
"fax_number": "864-261-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBOY",
"first_name": "CARL",
"middle_name": "TRINIDAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "36761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC PROVIDER ID#",
"identifier": "52539",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q36761",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8952539",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00869101",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.