Organization Active NPI

John C Lincoln , LLC

Doing business as Harbor Pointe Internal Medicine

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1013151323
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3010 Issued in AZ
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

Updated by the provider on Jun 11, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 3010 AZ Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.