Active NPI
John C Lincoln , LLC
Doing business as Harbor Pointe Internal Medicine
- Internal Medicine Physician
- Glendale, AZ
National Provider Identifier
1013151323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3010
- Legal business name
- JOHN C LINCOLN , LLC
- Doing business as
- Harbor Pointe Internal Medicine
- Practice address
- 5859 W Talavi Blvd
Suite 165
Glendale, AZ 85306-1869 - Phone
- (602) 548-7800
- Fax
- (602) 548-0006
- NPI assigned
- Apr 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nathan Anspach
- Title
- Ceo
- Phone
- (602) 548-7800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3010 | AZ | Primary |
| Physician Assistant | 363A00000X | 3316 | AZ |
Addresses
Primary practice location
5859 W Talavi Blvd
Suite 165
Glendale, AZ 85306-1869
Mailing address
5859 W Talavi Blvd
Suite 165
Glendale, AZ 85306-1869
Phone (602) 548-7800
Other names 1
- Harbor Pointe Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000717 | AZ | Part B Supplier - Clinic/Group Practice | 1557274057 |
Receives reassigned benefits from 518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
16716 E Palisades Blvd
#101A
Fountain Hills, AZ 85268
13481 W McDowell Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 536-3720
10419 E McDowell Mtn Ranch Rd
#A100
Scottsdale, AZ 85255
Phone (480) 882-7530
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1083059323
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1568452357
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1891855425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276214400000",
"number": "1013151323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5859 W TALAVI BLVD",
"address_2": "SUITE 165",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853061869",
"telephone_number": "602-548-7800",
"fax_number": "602-548-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5859 W TALAVI BLVD",
"address_2": "SUITE 165",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853061869",
"telephone_number": "602-548-7800",
"fax_number": "602-548-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C LINCOLN , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-30",
"last_updated": "2010-06-11",
"status": "A",
"authorized_official_last_name": "ANSPACH",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-548-7800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "3010",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Pointe Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
- JMM Ventures (ty witt md)
- JMM Ventures, LLC
- Joel S Sellers DO LLC
- Ramanpreet Johal, DO
- Jeffrey S Johannesmeyer, DMD
- John C Lincoln, LLC
- John C. Lincoln, LLC (John C. Lincoln LifeStream at Thunderbird)
- John C. Lincoln, LLC (John C. Lincoln Glendale Family Medicine)
- John C. Porter MD PC
- John F Madden MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.