Organization Active NPI

John C. Lincoln, LLC

  • Family Medicine Physician
  • Anthem, AZ
National Provider Identifier
1639426422
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHN C. LINCOLN, LLC
Practice address
41810 N Venture Dr
E160
Anthem, AZ 85086-3169
Phone
(623) 465-4627
Fax
(623) 594-8919
NPI assigned
Aug 10, 2012
Organization subpart
Yes
Parent organization
JOHN C. LINCOLN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Nathan Anspach
Title
Sr. VP
Phone
(623) 434-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

41810 N Venture Dr
E160
Anthem, AZ 85086-3169

Mailing address

41810 N Venture Dr
E160
Anthem, AZ 85086-3169
Phone (623) 465-4627

Other names 1

  • dba John C. Lincoln Health Quest Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000717 AZ Part B Supplier - Clinic/Group Practice 1557274057 Receives reassigned benefits from 518 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Dunlap Medical Group

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1639426422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR",
            "address_2": "E160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863169",
            "telephone_number": "623-465-4627",
            "fax_number": "623-594-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR",
            "address_2": "E160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863169",
            "telephone_number": "623-465-4627",
            "fax_number": "623-594-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. LINCOLN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN C. LINCOLN, LLC",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "ANSPACH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SR. VP",
        "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": "dba John C. Lincoln Health Quest Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.