| Jason Lomboy, MD | |
|
1371 Church Street Ext Ne, Marietta, GA 30060-7913 | |
| (678) 344-8900 | |
| (678) 666-5201 |
| Full Name | Jason Lomboy |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 1371 Church Street Ext Ne, Marietta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265843312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 82505 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Of Ga-east, Pc | 1658725668 | 17 |
| Advanced Urology Institute Of Georgia | 1759552607 | 54 |
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Entity Name | Advanced Urology Institute Of Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073896510 PECOS PAC ID: 1759552607 Enrollment ID: O20110926000393 |
| Entity Name | Advanced Urology Of Ga-east, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437840154 PECOS PAC ID: 1658725668 Enrollment ID: O20230925003348 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Lomboy, MD 1551 Janmar Rd, Snellville, GA 30078-5606 Ph: (678) 344-8900 | Jason Lomboy, MD 1371 Church Street Ext Ne, Marietta, GA 30060-7913 Ph: (678) 344-8900 |
Gaspar Msangi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 250, Marietta, GA 30060 Phone: 770-428-4475 | |
Dr. Shaya Taghechian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne, Suite 430, Marietta, GA 30060 Phone: 770-429-9100 Fax: 770-429-1391 | |
Dr. Bradley Scott Mccowan, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne, Suite 250, Marietta, GA 30060 Phone: 770-428-4426 Fax: 770-948-1275 | |
Dr. Chirag Niranjan Dave, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060 Phone: 678-344-8900 Fax: 678-666-5201 | |
Dr. James S Goodlet Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 185 Blair Valley Dr Ne, Marietta, GA 30060 Phone: 770-880-5372 | |
Kristin Michelle Boren, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne, Suite 250, Marietta, GA 30060 Phone: 770-428-4475 |