JOHN C. LINCOLN NORTH MOUNTAIN PROFESSIONALS, LLC (NPI# 1124467956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124467956 |
| Entity Type | Organization |
| Organization Name | JOHN C. LINCOLN NORTH MOUNTAIN PROFESSIONALS, LLC |
| Practice Address |
9225 N 3rd St Suite 103 Phoenix AZ 85020-2439 |
| Mailing Address |
2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 6234346200 |
| Mailing Telephone | 6234346200 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | MR. NATHAN ANSPACH (SR. VP) |
| 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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972917326 | John C. Lincoln North Mountain Professionals, LLC | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2014-06-13 |
| Street Address |
9225 N 3RD ST SUITE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273911 | Mario F Avila | Internal Medicine | 9225 N 3rd St, Ste 300, Phoenix, AZ 85020-2466 | 2005-08-23 |
| 1669910840 | Diane Lydia King | Social Worker | 9225 N 3rd St, Suite 103, Phoenix, AZ 85020-2439 | 2017-02-07 |
| 1356727358 | Cynapse, Pllc | Specialist/Technologist, Other | 9225 N 3rd St, Ste 100, Phoenix, AZ 85020-2439 | 2015-08-03 |
| 1275965402 | Matthew Roland Degarlais | Internal Medicine | 9225 N 3rd St, Suite 300, Phoenix, AZ 85020-2439 | 2013-07-30 |
| 1417396144 | Kimberly Linnae Collier | Internal Medicine | 9225 N 3rd St, Suite 300, Phoenix, AZ 85020-2439 | 2013-06-16 |
| 1518304708 | Dru Dethlefs | Internal Medicine | 9225 N 3rd St, Suite 300, Phoenix, AZ 85020-2439 | 2013-05-28 |
| 1053652289 | Shannon Marie Brown | Nurse Practitioner | 9225 N 3rd St, Suite 300, Phoenix, AZ 85020-2439 | 2013-03-13 |
| 1174885859 | Kurtis Wayne Bradley | Internal Medicine | 9225 N 3rd St, Suite 300, Phoenix, AZ 85020-2439 | 2012-06-08 |
| 1407120421 | Evan Taylor Holdsworth | Internal Medicine | 9225 N 3rd St, #300, Phoenix, AZ 85020-2439 | 2012-03-08 |
| 1154605517 | Rose Esty | Registered Nurse | 9225 N 3rd St, Ste. 103, Phoenix, AZ 85020-2439 | 2011-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201960 | Suncrest Hospice Phoenix LLC | Internal Medicine | 4650 E Cotton Center Blvd Ste 110, Phoenix, AZ 85040-4801 | 2017-08-18 |
| 1336785567 | Compassus Op of Arizona LLC | Internal Medicine | 120 N 44th St Ste 150, Phoenix, AZ 85034-1829 | 2019-11-22 |
| 1013571017 | Wings of Hope Hospice and Palliative Care Inc. | Internal Medicine | 11022 N 28th Dr Ste 205, Phoenix, AZ 85029-5635 | 2019-04-24 |
| 1326512203 | Scott Tomlinson | Internal Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2019-01-14 |
| 1124569868 | Paradise Patient Care, LLC | Internal Medicine | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2017-03-14 |
| 1043690381 | Quality Palliative Care, Inc. | Internal Medicine | 1112 E Washington St, Phoenix, AZ 85034-1010 | 2015-06-02 |
| 1932479953 | Jay Babubhai Patel | Internal Medicine | 500 W Thomas Rd Ste 900b, Phoenix, AZ 85013 | 2012-01-06 |
| 1447473103 | William L Bunting | Internal Medicine | 202 E Earll Dr, Phoenix, AZ 85012-2634 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1760045009 | Neighborhood Hospice LLC | Internal Medicine | 13000 N 103rd Ave Ste 56, Sun City, AZ 85351-3024 | 2019-04-22 |
| 1720463466 | Agape Palliative Care, LLC | Internal Medicine | 2980 N Swan Rd, Ste 225, Tucson, AZ 85712-6024 | 2015-07-23 |
| 1801203682 | Amrita Kaur Sabharwal | Internal Medicine | 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 | 2014-07-14 |
| 1699918235 | Tlc Healthcare Wound Specialists Inc | Internal Medicine | 5130 N Circulo Sobrio, Tucson, AZ 85718-6036 | 2009-04-13 |
| 1417121849 | A Collins Villamor | Internal Medicine | 13000 N 103rd Ave Ste 54, Sun City, AZ 85351-3024 | 2008-04-16 |
| 1003027426 | John Polacheck | Internal Medicine | 1701 W. St. Mary's Rd., Suite 102, Tucson, AZ 85745 | 2007-05-25 |
| 1831655760 | Rta Hospice, LLC | Internal Medicine | 1025 W 24th St Ste 15, Yuma, AZ 85364-8373 | 2019-02-15 |
| 1982087532 | Hospice Md Pllc | Internal Medicine | 13000 N 103rd Ave Ste 54, Sun City, AZ 85351-3024 | 2015-07-01 |
| 1366701393 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2012-05-11 |
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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.