Active NPI
John C. Lincoln, LLC
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
National Provider Identifier
1861624702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- JOHN C. LINCOLN, LLC
- Practice address
- 1668 W Glendale Ave
Suite 128
Phoenix, AZ 85021-8948 - Phone
- (623) 780-1999
- Fax
- (623) 516-0950
- NPI assigned
- Aug 11, 2009
- 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
- Nathan L. Anspach
- Title
- Senior Vice President
- Phone
- (623) 780-3751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
1668 W Glendale Ave
Suite 128
Phoenix, AZ 85021-8948
Mailing address
PO Box 9907
Phoenix, AZ 85068-0907
Phone (623) 780-1999
Other names 1
- Deer Valley Family Practice at the Beatitudes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304640000000",
"number": "1861624702",
"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": "623-780-1999",
"fax_number": "623-516-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 W GLENDALE AVE",
"address_2": "SUITE 128",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218948",
"telephone_number": "623-780-1999",
"fax_number": "623-516-0950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. LINCOLN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-11",
"last_updated": "2011-05-06",
"status": "A",
"authorized_official_last_name": "ANSPACH",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "623-780-3751"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Deer Valley Family Practice at the Beatitudes",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 6, 2011; 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.