Active NPI
Lawrence J Lincoln, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 9952
- Practice address
- 5679 E Grant Rd
Tucson, AZ 85712-2211 - Phone
- (520) 546-6120
- Fax
- (520) 546-6119
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 09952 | AZ | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 9952 | AZ | Primary |
Addresses
Primary practice location
5679 E Grant Rd
Tucson, AZ 85712-2211
Mailing address
5679 E Grant Rd
Tucson, AZ 85712-2211
Phone (520) 546-6120
Other practice location 1
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-1205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221482 | Medicaid | AZ | |
| AZ0015260 | Other | AZ | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Columbia University College of Physicians and Surgeons, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Madison St
Suite 200
Seattle, WA 98104-4304
Phone (206) 386-2126
Hospital & facility affiliations
- Swedish Edmonds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09952 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Debra a. Kroack MD PC | Past | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1221 Madison St
Ste 200
Seattle, WA 98104
Phone (206) 386-2126
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1407116700
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1194725267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122211",
"telephone_number": "520-546-6120",
"fax_number": "520-546-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5679 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122211",
"telephone_number": "520-546-6120",
"fax_number": "520-546-6119"
}
],
"practiceLocations": [
{
"address_1": "5301 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122805",
"country_code": "US",
"telephone_number": "520-324-1205",
"fax_number": "520-324-3650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINCOLN",
"first_name": "LAWRENCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "09952",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AZ",
"license": "9952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "221482",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "AZ0015260",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.