JOHN C. LINCOLN, LLC (NPI# 1497005946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497005946 |
| Entity Type | Organization |
| Organization Name | JOHN C. LINCOLN, LLC |
| Other Organization Name | JOHN C. LINCOLN LIFESTREAM AT THUNDERBIRD |
| Practice Address |
13617 N 55th Ave Glendale AZ 85304-4701 |
| Mailing Address |
Po Box 9907 Phoenix AZ 85068-0907 |
| Practice Telephone | 6025448541 |
| Mailing Telephone | 6234346155 |
| Mailing Fax Number | 6234346149 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | NATHAN ANSPACH (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 6234346200 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN C. LINCOLN, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| John C. Lincoln LifeStream at Thunderbird | 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 |
| 1417399692 | John C. Lincoln, LLC | Family Medicine | 12235 N Cave Creek Rd, Ste. 9, Phoenix, AZ 85022-6509 | 2013-07-29 |
| 1497197677 | John C. Lincoln, LLC | Family Medicine | 6677 W Thunderbird Rd, Ste. A124, Glendale, AZ 85306-3709 | 2013-07-29 |
| 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 |
13617 N 55TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881674414 | Lifestream Complete Senior Living At Thunderbird Inc | Assisted Living Facility | 13617 N 55th Ave, Glendale, AZ 85304-4701 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| 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. |
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|---|---|---|---|---|
| 1356967327 | Kristian Adair | Family Medicine | 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 | 2020-06-24 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1053930248 | Shine Mmg Inc | Family Medicine | 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 | 2020-04-08 |
| 1497381446 | Leonardo C Ortiz Md A Medical Corporation | Family Medicine | 2145 Ashington Dr, Glendale, CA 91206-1140 | 2020-03-20 |
| 1508498130 | Nare Stepanyan Md Inc | Family Medicine | 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 | 2020-02-11 |
| 1194368530 | Carolyn Kathan | Family Medicine | 3732 W Charleston Ave, Glendale, AZ 85308-2708 | 2019-10-17 |
| 1932740966 | Starcare Homes LLC | Family Medicine | 9416 W Colter St, Glendale, AZ 85305-3373 | 2019-10-01 |
| 1871050559 | Mensa Family Clinic Inc | Family Medicine | 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 | 2019-02-28 |
| 1891279907 | Denise M Gomez | Family Medicine | 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 | 2018-09-24 |
| 1427537299 | Brilliant Health Center Inc | Family Medicine | 1014 E Colorado St, Glendale, CA 91205-1226 | 2018-08-12 |
| Find all providers in GLENDALE | ||||
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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.