Gautam Aggarwal (NPI# 1700185667, PAC ID# 3173761921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1700185667 |
| PAC ID by PECOS | 3173761921 |
| Professional Enrollment ID | I20130906000839 |
| Full Name | Gautam Aggarwal |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Address |
4131 N 24 St Phoenix AZ 85016-6231 |
| Phone Number | 6029556632 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1557274057 |
| Number of Group Practice Members | 180 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4131 N 24 St, Phoenix, AZ 85016-6231 | 6029556632 | 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 |
4131 N 24 ST |
| City | PHOENIX |
| State | AZ |
| Zip | 85016-6231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hong Li | Nurse Practitioner | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Stephanie Purkat Lindauer | Internal Medicine | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Stone Iii | Undefined Physician Type (specify) | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Shazia A Malik | Obstetrics/gynecology | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Paul W Dickerson | Chiropractic | Paul W Dickerson Dc, Ltd | 6522 N 16th St, Suite 4, Phoenix, AZ 85016-1343 |
| Jill A Mehlhaf | Anesthesiology | 6245 N 16th St, Phoenix, AZ 85016-1706 | |
| Timothy O Fearon | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| David M Roessler | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Lauri Lazarus | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Ryan Hamic | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| William M Jacobsen | Plastic and Reconstructive Surgery | 2525 E Arizona Biltmore Cir, Suite C236, Phoenix, AZ 85016-2130 | |
| Gagandeep Arora | Chiropractic | Innovative Pain and Wellness Plc | 3135 E Lincoln Dr, Suite B, Phoenix, AZ 85016-2301 |
| Find all physicians in zip 85016 | |||
| City | PHOENIX |
| Zip Code | 85016 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PHOENIX + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Gautam Aggarwal.
| 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.