JOHN C LINCOLN LLC NPI 1073609848

NPI Information

  • NPI: 1073609848
  • Provider Name: JOHN C LINCOLN LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PINNACLE ANTHEM
  • CLIA Number: 03D2036851
  • Address: 3648 W ANTHEM WAY
    SUITE A100
    ANTHEM, AZ
    ZIP 85086
  • Phone: (602) 485-7482

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NPI Details

JOHN C LINCOLN LLC is a family medicine in Anthem, AZ. The provider is 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. JOHN C LINCOLN LLC NPI is 1073609848. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinnacle Anthem.

The provider's business location address is:

3648 W ANTHEM WAY
SUITE A100
ANTHEM, AZ
ZIP 85086
Phone: (602) 485-7482
Fax: (623) 434-6448

The provider's authorized official is Nathan Anspach .
The authorized official title is Sr. Vp and has the following contact phone number (623) 434-6200.

The CLIA number assigned to this NPI record is 03D2036851 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyOTC3148ARIZONANo
2207Q00000XFamily MedicineOTC 3490ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z76804MEDICARE PINARIZONA
2Z25034MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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