John C Lincoln, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN C LINCOLN, LLC

Doing business as

Second Street Primary Care

Practice address

3330 N 2ND St
Suite 500
Phoenix, AZ 85012-2368

Phone

(623) 434-6200

NPI assigned

Oct 9, 2014

Last updated

Dec 3, 2014By the provider in NPPES

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

• SECOND STREET PRIMARY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold Andrew Couch, AU.D.

  • Audiologist
  • Chandler, AZ
  • NPI 1356723068
  NPD
• Andres M Hernandez, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1083667810
  NPD
• Todd Vincent Lincoln, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1487742268
  NPD
• Sarah Z Sonchik, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1306190459
  NPD

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1588068266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 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": "3330 N 2ND ST",
            "address_2": "SUITE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122368",
            "telephone_number": "623-434-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LINCOLN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-12-03",
        "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": "SECOND STREET PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John C Lincoln LLC (Pinnacle Radiology)
• John C Lincoln LLC (North Mountain Radiology Group - BCC)
• John C Lincoln LLC (North Mountain Radiology Group OPC)
• John C Lincoln LLC (North Mountain Radiology Group)
• John C Lincoln LLC (deer valley Ob Gyn)
• John C Lincoln, LLC
• John C Porter MD PLC
• John C. Lincoln Comprehensive Women's Center, LLC
• John C. Lincoln Comprehensive Womens Center, LLC (John C. Lincoln Care for Women)
• John C. Lincoln Genetics Cancer Risk

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, 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 Dec 3, 2014; 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.