John C. Lincoln, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN C. LINCOLN, LLC

Doing business as

John C. Lincoln LifeStream at Thunderbird

Practice address

13617 N 55TH Ave
Glendale, AZ 85304-4701

Phone

(602) 544-8541

NPI assigned

Sep 12, 2012

Organization subpart

Yes

Parent organization

JOHN C. LINCOLN, LLCAs reported in NPPES

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 1

Addresses

Other names 1

• John C. Lincoln LifeStream at Thunderbird Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Dunlap Medical Group

Locations

Practitioners 1

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

• Justin W Wight, M.D.

  • Family Medicine Physician
  • Cave Creek, AZ
  • NPI 1467641811
  NPD

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1497005946",
    "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": "623-434-6155",
            "fax_number": "623-434-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853044701",
            "telephone_number": "602-544-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. LINCOLN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN C. LINCOLN, LLC",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C. Lincoln LifeStream at Thunderbird",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel S Sellers DO LLC
• Ramanpreet Johal, DO
• Jeffrey S Johannesmeyer, DMD
• John C Lincoln , LLC (Harbor Pointe Internal Medicine)
• John C Lincoln, LLC
• John C. Lincoln, LLC (John C. Lincoln Glendale Family Medicine)
• John C. Porter MD PC
• John F Madden MD PC
• John G. Wood, DDS
• John H. Upton Jr. D.D.S. P.C. Magd

• Family Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.