Organization Active NPI

Honorhealth Medical Group, LLC

Doing business as John C. Lincoln LLC dba Arcadia Family Clinic

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1033104716
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HONORHEALTH MEDICAL GROUP, LLC
Doing business as
John C. Lincoln LLC dba Arcadia Family Clinic
Practice address
4131 N 24TH St
Suite B-102
Phoenix, AZ 85016-6262
Phone
(602) 955-6632
Fax
(602) 381-1341
NPI assigned
Sep 19, 2005
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Savas Petrides
Title
SVP/Ceo
Phone
(480) 696-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4131 N 24TH St
Suite B-102
Phoenix, AZ 85016-6262

Mailing address

2500 W Utopia Rd
Phoenix, AZ 85027-4171
Phone (480) 587-5314

Other names 1

  • John C. Lincoln LLC dba Arcadia Family Clinic 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

10238 E Hampton Ave
Ste 406
Mesa, AZ 85209
Phone (480) 822-4750

5735 E McKellips Rd
Ste 101
Mesa, AZ 85215
Phone (480) 718-6444

21681 N 77th Ave
Ste 1405
Peoria, AZ 85382
Phone (623) 312-2265

12235 N Cave Creek Rd
Ste 9
Phoenix, AZ 85022
Phone (602) 992-7700

1515 E Bethany Home Rd
#305B
Phoenix, AZ 85014

18404 N Tatum Blvd
Ste 102
Phoenix, AZ 85032
Phone (602) 485-7421

2500 W Utopia Rd
Phoenix, AZ 85027
Phone (602) 812-3080

5333 N 7th St
Ste 8305
Phoenix, AZ 85014

750 E Thunderbird Rd
Phoenix, AZ 85022
Phone (602) 866-1220

36305 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 987-6900

18801 N Thompson Peak Pkwy
Ste 110
Scottsdale, AZ 85255
Phone (480) 471-5702

Practitioners & affiliated clinicians

Practitioners 341

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 341

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1033104716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "480-587-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N 24TH ST",
            "address_2": "SUITE B-102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166262",
            "telephone_number": "602-955-6632",
            "fax_number": "602-381-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORHEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "PETRIDES",
        "authorized_official_first_name": "SAVAS",
        "authorized_official_title_or_position": "SVP/CEO",
        "authorized_official_telephone_number": "480-696-4020"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C. Lincoln LLC dba Arcadia Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.