John C Lincoln LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OTC 1780 Issued in AZ

Legal business name

JOHN C LINCOLN LLC

Practice address

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1510

Phone

(602) 992-1900

Fax

(602) 485-7440

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Nathan Anspach

Title

Sr. Vice President

Phone

(623) 434-6200

Specialties & licenses 2

Addresses

Other names 1

• Pinnacle Radiology Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Barry Alpern, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1124071584
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1164500187",
    "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": "18404 N TATUM BLVD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321510",
            "telephone_number": "602-992-1900",
            "fax_number": "602-485-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LINCOLN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "ANSPACH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "623-434-6200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "OTC 1780",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AZ",
            "license": "OTC3148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John a Liebert, MD PC
• John a Shaw MD PC
• John a Soscia MD PC
• John C Lincoln , LLC
• John C Lincoln Hospital Inc
• John C Lincoln LLC
• John C Lincoln LLC
• John C Lincoln LLC
• John C Lincoln LLC
• John C Lincoln, LLC

• All providers in Phoenix, AZ
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.