JOHN C. LINCOLN, LLC (NPI# 1861624702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861624702 |
| Entity Type | Organization |
| Organization Name | JOHN C. LINCOLN, LLC |
| Other Organization Name | DEER VALLEY FAMILY PRACTICE AT THE BEATITUDES |
| Practice Address |
1668 W Glendale Ave Suite 128 Phoenix AZ 85021-8948 |
| Mailing Address |
Po Box 9907 Phoenix AZ 85068-0907 |
| Practice Telephone | 6237801999 |
| Practice Fax Number | 6235160950 |
| Mailing Telephone | 6237801999 |
| Mailing Fax Number | 6235160950 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2011-05-06 |
| Authorized Official Name | NATHAN L. ANSPACH (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6237803751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deer Valley Family Practice at the Beatitudes | 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 |
| 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 |
| 1699852319 | John C. Lincoln, LLC | Family Medicine | 5040 N 15th Ave, Suite 202, Phoenix, AZ 85015-3328 | 2006-11-01 |
| Street Address |
1668 W GLENDALE AVE SUITE 128 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-8948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386761484 | Theresa Marie Hensler | Internal Medicine | 1668 W Glendale Ave, Suite 128, Phoenix, AZ 85021-8971 | 2007-03-23 |
| 1023300324 | Catherine Lindstrom | Psychologist | 1668 W Glendale Ave, Ste. 128, Phoenix, AZ 85021-8971 | 2011-05-05 |
| 1336301035 | Joseph R Mawyer | Student in an Organized Health Care Education/Training Program | 1668 W Glendale Ave, Ste. 128, Phoenix, AZ 85021-8971 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073148326 | Team Select Mobile Physicians Az LLC | Family Medicine | 2999 N 44th St Ste 110, Phoenix, AZ 85018-7247 | 2020-03-06 |
| 1366796773 | Medical Group of Arizona, LLC | Family Medicine | 13430 N. Black Canyon Highway, Suite 100, Phoenix, AZ 85029-1310 | 2012-11-07 |
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1265617013 | Shelly R Myers | Family Medicine | 4520 N 12th St, Suite #103, Phoenix, AZ 85014-4233 | 2007-12-28 |
| 1225236367 | Thomas J Cuomo Jr Md PC | Family Medicine | 13835 N Tatum Blvd # 9468, Phoenix, AZ 85032-5581 | 2007-07-10 |
| 1225132608 | Sona S Giknavorian | Family Medicine | 2345 E Thomas Rd Ste 420, Suite # 420, Phoenix, AZ 85016-7862 | 2006-09-07 |
| 1598702086 | Robin F Macdougall | Family Medicine | 4626 E. Shea Blvd, Suite C230, Phoenix, AZ 85028 | 2006-06-01 |
| 1205812757 | Thomas J Cuomo Jr | Family Medicine | 13835 N Tatum Blvd, 9615, Phoenix, AZ 85032-5581 | 2005-12-16 |
| 1710255088 | Mh7, LLC | Family Medicine | 4520 N 12th St, Suite 103, Phoenix, AZ 85014-4233 | 2011-12-01 |
| 1174764708 | Reginald Mortimer Sutton | Family Medicine | 4616 N 51st Ave, Suite 103, Phoenix, AZ 85031-1716 | 2009-03-11 |
| 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.