John C. Lincoln, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOHN C. LINCOLN, LLC

Doing business as

dba John C. Lincoln Avista Senior Living North Mountain

Practice address

350 E Eva St
Phoenix, AZ 85020-2564

Phone

(602) 544-8541

Fax

(602) 544-8543

NPI assigned

Aug 17, 2012

Last updated

Aug 17, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHN C. LINCOLN, LLCAs reported in NPPES

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

Authorized official

Name

Nathan Anspach

Title

Sr. Vice President

Phone

(623) 434-6200

Specialties & licenses 1

Addresses

Other names 1

• dba John C. Lincoln Avista Senior Living North Mountain Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Robin F Macdougall MD

Locations

Practitioners 2

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.

• Lisa Kay Dela Cruz, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1326471640
  NPD
• Veronica J Lindo, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1366469280
  NPD

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1679821870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E EVA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E EVA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202564",
            "telephone_number": "602-544-8541",
            "fax_number": "602-544-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. LINCOLN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN C. LINCOLN, LLC",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "ANSPACH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "623-434-6200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba John C. Lincoln Avista Senior Living North Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John C. Lincoln LLC (Southwest Endocrinology Associates)
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• John C. Lincoln North Mountain Professionals, LLC (Comprehensive Care Center - North Mountain)
• John C. Lincoln, LLC (John C Lincoln Cactus Family Medicine)
• John C. Lincoln, LLC (John C. Lincoln Urgent Care at Tatum)
• John C. Lincoln, LLC (Sun Valley Family Medicine)
• John C. Lincoln, LLC (Deer Valley Family Practice at the Beatitudes)
• John E. Culp, III DMD, PC (Jungle Roots Children's Dentistry)
• John F Schaible MD PC
• John M Bracken PC

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.