THUNDERBIRD ENDOSCOPY CENTER (NPI# 1801842927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801842927 |
| Entity Type | Organization |
| Organization Name | THUNDERBIRD ENDOSCOPY CENTER |
| Practice Address |
5823 W Eugie Ave Ste B Glendale AZ 85304-1276 |
| Practice Telephone | 6024391717 |
| Practice Fax Number | 6029380292 |
| Mailing Telephone | 6024391717 |
| Mailing Fax Number | 6029380292 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHIRLEY SCHULLER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6024391717 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
OSC 2750 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 120130 | 01 |
| AZ | BLUE CROSS/BLUE SHIELD | 0207240 | 01 |
| Street Address |
5823 W EUGIE AVE STE 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 |
| 1386823854 | The Glendale Az Endoscopy Asc LLC | Clinic/Center | 5823 W Eugie Ave, Suite B, Glendale, AZ 85304-1276 | 2007-10-31 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588829717 | Dr. Lori L. Gordon, Pllc | Clinic/Center | 595 N Dobson Rd Ste A5, Chandler, AZ 85224-3404 | 2008-07-28 |
| 1164871075 | Central Arizona Gi & Liver Institute LLC | Clinic/Center | 4001 E Baseline Rd, Suite 102, Gilbert, AZ 85234-2726 | 2016-06-10 |
| 1811228083 | Mesquite Surgery Center LLC | Clinic/Center | 7445 E Tanque Verde Rd, Tucson, AZ 85715-3477 | 2010-01-27 |
| 1699943290 | Southeast Valley Endoscopy Center,llc | Clinic/Center | 875 S Dobson Rd, Chandler, AZ 85224-5710 | 2008-02-15 |
| 1477751683 | Valley Endoscopy Center LLC | Clinic/Center | 2563 S Val Vista Dr, Suite 126, Gilbert, AZ 85295 | 2007-07-10 |
| 1710942370 | Scottsdale Endoscopy Center Plc | Clinic/Center | 9787 N 91st St, Scottsdale, AZ 85258-5088 | 2006-04-18 |
| 1871570424 | Arizona Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2005-12-26 |
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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.