John C Lincoln LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

JOHN C LINCOLN LLC

Practice address

9250 N 3Rd St
Suite 1002
Phoenix, AZ 85020-2412

Phone

(602) 216-6690

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Gary R Grover

Title

Senior Vice President

Phone

(602) 216-6687

Specialties & licenses 1

Addresses

Other names 1

• North Mountain Radiology Group OPC Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

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

• Daryl P Beabeau, MD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1689663643
  NPD
• Michael Gary Sills, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1689664658
  NPD
• Christopher William Park, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1700863198
  NPD

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1679715940",
    "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": "602-216-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 1002",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202412",
            "telephone_number": "602-216-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LINCOLN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-6687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mountain Radiology Group OPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John a Soscia MD PC
• John C Lincoln , LLC
• John C Lincoln Hospital Inc
• John C Lincoln LLC
• John C Lincoln LLC
• John C Lincoln LLC
• John C Lincoln LLC
• John C Lincoln, LLC
• John C Lincoln, LLC
• John C Porter MD PLC

• Radiology Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.