Individual provider Active NPI

Bobbi D Lancaster, MD

  • Family Medicine Physician
  • Gold Canyon, AZ
National Provider Identifier
1295729853
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20188 Issued in AZ
Practice address
2421 S Rainbows End
Gold Canyon, AZ 85218
Phone
(480) 982-4431
Fax
(480) 671-0140
NPI assigned
Sep 9, 2005
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20188 AZ Primary

Addresses

Primary practice location

2421 S Rainbows End
Gold Canyon, AZ 85218

Mailing address

2421 S Rainbows End
Gold Canyon, AZ 85218
Phone (480) 982-4431

Other identifiers 1

IdentifierTypeStateIssuer
063735MedicaidAZ

Other names 1

  • Robert Douglas Lancaster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20188AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Diagnostics, LLC CurrentSince Oct 13, 2012 Accepting new patients
Asap Health Solutions Inc Past Accepting new patients
Diamond Medical Equipment L.L.C. PastSince Oct 13, 2012 Accepting new patients

Locations

1324 N Farrell Ct
Ste 102
Gilbert, AZ 85233
Phone (480) 926-4363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1295729853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 S RAINBOWS END",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "85218",
            "telephone_number": "480-982-4431",
            "fax_number": "480-671-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 S RAINBOWS END",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "85218",
            "telephone_number": "480-982-4431",
            "fax_number": "480-671-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "BOBBI",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "20188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063735",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "LANCASTER",
            "middle_name": "DOUGLAS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.