THE GLENDALE AZ ENDOSCOPY ASC LLC (NPI# 1386823854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386823854 |
| Entity Type | Organization |
| Organization Name | THE GLENDALE AZ ENDOSCOPY ASC LLC |
| Other Organization Name | THUNDERBIRD ENDOSCOPY CENTER |
| Practice Address |
5823 W Eugie Ave Suite B Glendale AZ 85304-1276 |
| Mailing Address |
1a Burton Hills Blvd Nashville TN 37215-0000 |
| Practice Telephone | 6024391717 |
| Practice Fax Number | 6029380292 |
| Mailing Telephone | 6156651283 |
| Mailing Fax Number | 6152341720 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Thunderbird Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
5823 W EUGIE AVE SUITE B |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074012 | Jodie K Labowitz | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-02-27 |
| 1831408038 | Westside Anesthesia Services Plc | Anesthesiology | 5823 W Eugie Ave, Suite A, Glendale, AZ 85304-1276 | 2010-10-05 |
| 1376851360 | Mary Ann Atia | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2010-09-23 |
| 1801842927 | Thunderbird Endoscopy Center | Clinic/Center | 5823 W Eugie Ave, Ste B, Glendale, AZ 85304-1276 | 2006-05-26 |
| 1467414219 | Arizona Digestive & Liver Disease Consultants | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-04-05 |
| 1326015678 | Steven Robert Kanner | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-03-07 |
| 1366419434 | Barry R Wiss | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-03-07 |
| 1962478818 | James A Singer | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-02-28 |
| 1316913262 | Michael John Yanish | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-02-28 |
| 1891761987 | Mahesh S Mokhashi | Internal Medicine | 5823 W Eugie Ave, Ste A, Glendale, AZ 85304-1276 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276952 | Arrowhead North Surgery Center, LLC | Clinic/Center | 16390 N 59th Ave Ste 100, Glendale, AZ 85306-1711 | 2020-05-07 |
| 1578197869 | Windsor Surgery Center LLC | Clinic/Center | 800 S Central Ave Ste 102, Glendale, CA 91204-4370 | 2020-02-26 |
| 1740814938 | Windsor Surgery Center of Glendale LLC | Clinic/Center | 800 S Central Ave Ste 103, Glendale, CA 91204-4395 | 2020-02-26 |
| 1700417797 | Broadway Wellness Center Inc | Clinic/Center | 716 W Broadway Ste 100, Glendale, CA 91204-1010 | 2020-01-29 |
| 1891257473 | Westgate Surgery Center, LLC | Clinic/Center | 7330 N 99th Ave Ste 100, Glendale, AZ 85307-3016 | 2019-04-03 |
| 1194291401 | Affiliated Physicians & Surgeons, Ltd | Clinic/Center | 20325 N 51st Ave Ste 102-104, Glendale, AZ 85308-5674 | 2018-10-15 |
| 1558853234 | Broadway Laser Surgical Institute, Inc. | Clinic/Center | 1100 E Broadway Ste 201, Glendale, CA 91205-1380 | 2018-05-30 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1194185637 | Avalon Surgery and Robotic Center, LLC | Clinic/Center | 716 W Broadway Ste 200, Glendale, CA 91204-1010 | 2016-02-25 |
| 1568820892 | Socal Outpatient Surgery Center | Clinic/Center | 1141 N Brand Blvd Ste 202, Glendale, CA 91202-3660 | 2016-02-01 |
| Find all providers in GLENDALE | ||||
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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.