Steven C Boles (NPI# 1114031507, PAC ID# 6002802469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114031507 |
| PAC ID by PECOS | 6002802469 |
| Professional Enrollment ID | I20040427000012 |
| Full Name | Steven C Boles |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Address |
9191 W Thunderbird Rd D105 Plaza Del Rio Family Medicine Peoria AZ 85381-4270 |
| Phone Number | 6238493811 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557274057 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030014 | HONORHEALTH JOHN C LINCOLN MEDICAL CENTER |
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9191 W Thunderbird Rd, D105 Plaza Del Rio Family Medicine, Peoria, AZ 85381-4270 | 6238493811 | JOHN C LINCOLN LLC |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Lynn Stout | Nurse Practitioner | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Danielle J Mackelprang | Nurse Practitioner | John C Lincoln LLC | 3621 N Wells Fargo Ave, Scottsdale, AZ 85251-5607 |
| Jamillah L Ferguson | Nurse Practitioner | John C Lincoln LLC | 4131 N 24th St, Suite B102, Phoenix, AZ 85016-6231 |
| Chelsea J Thomsen | Internal Medicine | John C Lincoln LLC | 20330 N Cave Creek Rd, Suite 160, Phoenix, AZ 85024-1280 |
| Nicole A Konkowski | Family Medicine | John C Lincoln LLC | 9327 N 3 St, 100 Squaw Peak Family Medicine, Phoenix, AZ 85020-2471 |
| Lisa K Dela Cruz | Nurse Practitioner | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Hong Li | Nurse Practitioner | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Traci E Jensen | Family Medicine | John C Lincoln LLC | 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 |
| Marlene T Patino | Physician Assistant | John C Lincoln LLC | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022-5306 |
| Therese G Argyros | Nurse Practitioner | John C Lincoln LLC | 4712 E Dynamite Blvd, Cave Creek, AZ 85331-6243 |
| Street Address |
9191 W THUNDERBIRD RD D105 PLAZA DEL RIO FAMILY MEDICINE |
| City | PEORIA |
| State | AZ |
| Zip | 85381-4270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vernon T Mackey | Dermatology | 9191 W Thunderbird Rd, D101, Peoria, AZ 85381-4875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
| Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Troy C Ellis | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Find all physicians in zip 85381 | |||
| City | PEORIA |
| Zip Code | 85381 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PEORIA + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.