JOHN C. LINCOLN, LLC (NPI# 1417399692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417399692 |
| Entity Type | Organization |
| Organization Name | JOHN C. LINCOLN, LLC |
| Other Organization Name | JOHN C LINCOLN CACTUS FAMILY MEDICINE |
| Practice Address |
12235 N Cave Creek Rd Ste. 9 Phoenix AZ 85022-6509 |
| Mailing Address |
Po Box 845635 Los Angeles CA 90084-5635 |
| Practice Telephone | 6029927700 |
| Practice Fax Number | 6029927722 |
| Mailing Telephone | 6234346200 |
| Mailing Fax Number | 6234346164 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2019-02-02 |
| Authorized Official Name | RICHARD SILVER (CEO) |
| Authorized Official Telephone | 6234346200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| John C Lincoln Cactus Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871843326 | John C. Lincoln, LLC | Family Medicine | 10800 N 115th Ave, Suite 94, Youngtown, AZ 85363-1436 | 2012-09-12 |
| 1679821870 | John C. Lincoln, LLC | Specialist | 350 E Eva St, Phoenix, AZ 85020-2564 | 2012-08-17 |
| 1497197677 | John C. Lincoln, LLC | Family Medicine | 6677 W Thunderbird Rd, Ste. A124, Glendale, AZ 85306-3709 | 2013-07-29 |
| 1497005946 | John C. Lincoln, LLC | Family Medicine | 13617 N 55th Ave, Glendale, AZ 85304-4701 | 2012-09-12 |
| 1639426422 | John C. Lincoln, LLC | Family Medicine | 41810 N Venture Dr, E160, Anthem, AZ 85086-3169 | 2012-08-10 |
| 1598040347 | John C. Lincoln, LLC | Family Medicine | 18404 N Tatum Blvd, Ste. 102, Phoenix, AZ 85032-1510 | 2011-10-12 |
| 1003107921 | John C. Lincoln, LLC | Family Medicine | 46641 N Black Canyon Hwy, Ste. 5, New River, AZ 85087-6941 | 2011-04-26 |
| 1861624702 | John C. Lincoln, LLC | Family Medicine | 1668 W Glendale Ave, Suite 128, Phoenix, AZ 85021-8948 | 2009-08-11 |
| 1699852319 | John C. Lincoln, LLC | Family Medicine | 5040 N 15th Ave, Suite 202, Phoenix, AZ 85015-3328 | 2006-11-01 |
| Street Address |
12235 N CAVE CREEK RD STE. 9 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-6509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902990757 | Linsey Elaine Zocco | Physician Assistant | 12235 N Cave Creek Rd, Ste. 9, Phoenix, AZ 85022-6509 | 2006-10-03 |
| 1740497379 | Ronald Raybon | Physician Assistant | 12235 N Cave Creek Rd, Suite 9, Phoenix, AZ 85022-6509 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
| 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.