JOHN C LINCOLN LLC (NPI# 1184866386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184866386 |
| Entity Type | Organization |
| Organization Name | JOHN C LINCOLN LLC |
| Other Organization Name | NORTH MOUNTAIN RADIOLOGY GROUP - BCC |
| Practice Address |
19646 N 27th Ave Suite 205 Phoenix AZ 85027 |
| Mailing Address |
Po Box 9907 Phoenix AZ 85068-0907 |
| Practice Telephone | 6022166690 |
| Mailing Telephone | 6022166690 |
| Mailing Fax Number | 6022166950 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | MR. GARY R GROVER (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6022166687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Mountain Radiology Group - BCC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679715940 | John C Lincoln LLC | Clinic/Center | 9250 N 3rd St, Suite 1002, Phoenix, AZ 85020-2412 | 2009-04-01 |
| 1922299494 | John C Lincoln LLC | Radiology | 250 E Dunlap Ave, Attn: Radiology, Phoenix, AZ 85020-2825 | 2007-08-08 |
| 1982781167 | John C Lincoln LLC | Specialist | 2302 W Greenway Rd, Phoenix, AZ 85023-4235 | 2006-11-01 |
| 1164500187 | John C Lincoln LLC | Clinic/Center | 18404 N Tatum Blvd, Suite 101, Phoenix, AZ 85032-1510 | 2006-11-01 |
| 1073609848 | John C Lincoln LLC | Clinic/Center | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086 | 2006-10-05 |
| Street Address |
19646 N 27TH AVE SUITE 205 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
| 1417345919 | Arizona Oncology Associates PC | Physician Assistant | 19646 N 27th Ave, Ste. # 406, Phoenix, AZ 85027-4028 | 2015-01-06 |
| 1609291848 | Richard Lee Averitte Jr Pllc | Dermatology | 19646 N 27th Ave, Ste 305, Phoenix, AZ 85027-4017 | 2014-02-25 |
| 1326471640 | Lisa Kay Dela Cruz | Nurse Practitioner | 19646 N 27th Ave, Suite 301, Phoenix, AZ 85027-4017 | 2013-08-11 |
| 1932471323 | John C. Lincoln Genetics Cancer Risk | Medical Genetics | 19646 N 27th Ave, Ste. 201, Phoenix, AZ 85027-4017 | 2012-02-01 |
| 1033498399 | Breast Imaging Specialists of Arizona, LLC | Radiology | 19646 N 27th Ave, Ste. 205, Phoenix, AZ 85027-4017 | 2011-08-04 |
| 1942462767 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 19646 N 27th Ave, Suite 408, Phoenix, AZ 85027 | 2008-07-02 |
| 1629268503 | Yamini Subbiah | Internal Medicine | 19646 N 27th Ave, Suite 301 Dr. Subbiah-gastroenterology (care for Women), Phoenix, AZ 85027-4017 | 2007-07-27 |
| 1689701682 | Loretta Jo Nevarez-kells | Nurse Practitioner | 19646 N 27th Ave, Ste. # 403, Phoenix, AZ 85027-4017 | 2007-02-27 |
| 1689687410 | Yebabe Melak Mengesha | Dermatology | 19646 N 27th Ave, Suite 305, Phoenix, AZ 85027-4017 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
| 1285809004 | University Imaging LLC | Clinic/Center | 6120 N 16th St, Phoenix, AZ 85016-1705 | 2008-04-23 |
| 1962590851 | Desert Valley Radiology, Plc | Clinic/Center | 2225 W. Peoria Ave., Ste. 150, Phoenix, AZ 85029-4938 | 2006-10-10 |
| 1609988203 | Open Mri Solutions LLC | Clinic/Center | 4130 E Van Buren St, Suite 100, Phoenix, AZ 85008-6929 | 2006-08-31 |
| 1114995875 | Medical Imagery North LLC | Clinic/Center | 21031 N Cave Creek Rd, Suite F4, Phoenix, AZ 85024-5525 | 2006-03-09 |
| 1982149977 | Smi Imaging, LLC | Clinic/Center | 2620 N 3rd St, Suite 101, Phoenix, AZ 85004-1153 | 2016-12-29 |
| 1033596770 | Smi Imaging, LLC | Clinic/Center | 6707 N 19th Ave, Suite 101, Phoenix, AZ 85015-1104 | 2015-05-01 |
| 1790197358 | Sxr Medical LLC | Clinic/Center | 3805 E Bell Rd, Suite 5500, Phoenix, AZ 85032-2105 | 2014-05-29 |
| 1407286354 | The Vhs Arizona Imaging Centers, Lp | Clinic/Center | 6120 N 16th St, Phoenix, AZ 85016-1705 | 2013-11-13 |
| 1699091934 | Pueblo Radiology, LLC | Clinic/Center | 5501 N 19th Ave, Suite 111, Phoenix, AZ 85015-2450 | 2010-04-12 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.