John C. Lincoln, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN C. LINCOLN, LLC

Practice address

6677 W Thunderbird Rd
Ste. A124
Glendale, AZ 85306-3709

Phone

(623) 773-2266

Fax

(623) 773-2267

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Nathan Anspach

Title

Senior Vice President

Phone

(623) 434-6200

Specialties & licenses 1

Addresses

Other names 1

• John C. Lincoln Glendale Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• Jody L Pelusi, N.P

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1053352450
  NPD
• Wendell B Phillips, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1598757114
  NPD

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1497197677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200",
            "fax_number": "623-434-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "STE. A124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-773-2266",
            "fax_number": "623-773-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. LINCOLN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "ANSPACH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SENIOR 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 Glendale Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramanpreet Johal, DO
• Jeffrey S Johannesmeyer, DMD
• John C Lincoln , LLC
• John C Lincoln, LLC
• John C. Lincoln, LLC
• John C. Porter MD PC
• John F Madden MD PC
• John G. Wood, DDS
• John H. Upton Jr. D.D.S. P.C. Magd
• John J. Mehlem, Jr., DMD, PC

• 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 Jul 29, 2013; 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.