Active NPI
John C Lincoln , LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Phoenix, AZ
National Provider Identifier
1639631963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- JOHN C LINCOLN , LLC
- Practice address
- 9202 N 2ND St
Phoenix, AZ 85020-2458 - Phone
- (602) 683-7110
- Fax
- (480) 882-5813
- NPI assigned
- Apr 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Albios
- Title
- Systems Manager
- Phone
- (623) 436-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
9202 N 2ND St
Phoenix, AZ 85020-2458
Mailing address
PO Box 845635
Los Angeles, CA 90084-5635
National Provider Directory
National Provider Directory- Tax ID family
- Dunlap Medical Group
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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- Family Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554336000000",
"number": "1639631963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845635",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900845635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 N 2ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202458",
"telephone_number": "602-683-7110",
"fax_number": "480-882-5813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C LINCOLN , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A",
"authorized_official_last_name": "ALBIOS",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "SYSTEMS MANAGER",
"authorized_official_telephone_number": "623-436-6200"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.