Organization Active NPI

John C. Lincoln North Mountain Professionals, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1124467956
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
JOHN C. LINCOLN NORTH MOUNTAIN PROFESSIONALS, LLC
Practice address
9225 N 3Rd St
Suite 103
Phoenix, AZ 85020-2439
Phone
(623) 434-6200
NPI assigned
Jun 14, 2013
Organization subpart
Yes
Parent organization
JOHN C. LINCOLN, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Authorized official

Name
Mr. Nathan Anspach
Title
Sr. VP
Phone
(623) 434-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X AZ Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

9225 N 3Rd St
Suite 103
Phoenix, AZ 85020-2439

Mailing address

2500 W Utopia Rd
Suite 100
Phoenix, AZ 85027-4171
Phone (623) 434-6200

National Provider Directory

National Provider Directory
Part of
Dunlap Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1124467956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "623-434-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. LINCOLN NORTH MOUNTAIN PROFESSIONALS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN C. LINCOLN, LLC.",
        "enumeration_date": "2013-06-14",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "ANSPACH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SR. VP",
        "authorized_official_telephone_number": "623-434-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.