Individual provider Active NPI

Todd Vincent Lincoln, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1487742268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2445 Issued in AZ
Practice address
19841 N 27TH Ave
304
Phoenix, AZ 85027-4003
Phone
(623) 434-2229
Fax
(623) 434-1811
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2445 AZ Primary

Addresses

Primary practice location

19841 N 27TH Ave
304
Phoenix, AZ 85027-4003

Mailing address

19841 N 27TH Ave
304
Phoenix, AZ 85027-4003
Phone (623) 434-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000716 AZ Practitioner - Family Practice 5890771315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

9327 N 3Rd St
Suite 100
Phoenix, AZ 85020-2471
Phone (602) 371-3100

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2445AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
John C Lincoln, LLC Family Medicine CurrentSince May 30, 2017 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Honorhealth Ambulatory CurrentSince May 30, 2017 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Lincoln Wellness and Family Care P.C. Family Medicine PastSince Apr 30, 2003 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

5040 N 15th Ave
Ste 202
Phoenix, AZ 85015
Phone (602) 248-0123

19636 N 27th Ave
Ste 308
Phoenix, AZ 85027
Phone (623) 780-1999

9100 N 2nd St
Ste 121
Phoenix, AZ 85020
Phone (602) 943-4509

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHEBA

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487742268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 N 27TH AVE",
            "address_2": "304",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274003",
            "telephone_number": "623-434-2229",
            "fax_number": "623-434-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 N 27TH AVE",
            "address_2": "304",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274003",
            "telephone_number": "623-434-2229",
            "fax_number": "623-434-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "TODD",
        "middle_name": "VINCENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.