John C Lincoln LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

JOHN C LINCOLN LLC

Doing business as

North Mountain Radiology Group - BCC

Practice address

19646 N 27TH Ave
Suite 205
Phoenix, AZ 85027

Phone

(602) 216-6690

NPI assigned

Apr 2, 2009

Last updated

Apr 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary R Grover

Title

Senior Vice President

Phone

(602) 216-6687

Specialties & licenses 1

Addresses

Other names 1

• North Mountain Radiology Group - BCC Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1184866386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9907",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850680907",
            "telephone_number": "602-216-6690",
            "fax_number": "602-216-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "602-216-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LINCOLN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-6687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mountain Radiology Group - BCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John a Shaw MD PC
• John a Soscia MD PC
• John C Lincoln , LLC
• John C Lincoln Hospital Inc (John C Lincoln Family Medicine)
• John C Lincoln LLC (Pinnacle Radiology)
• John C Lincoln LLC (North Mountain Radiology Group OPC)
• John C Lincoln LLC (North Mountain Radiology Group)
• John C Lincoln LLC (deer valley Ob Gyn)
• John C Lincoln, LLC (Second Street Primary Care)
• John C Lincoln, LLC

• Radiology Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.