Active NPI
Thunderbird Family Medicine LTD
- Family Medicine Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 006374
- Legal business name
- THUNDERBIRD FAMILY MEDICINE LTD
- Practice address
- 8608 N 59TH Ave
Glendale, AZ 85302-5404 - Phone
- (623) 979-2565
- Fax
- (623) 979-2463
- NPI assigned
- Aug 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Marquard, D.O.
- Title
- Owner
- Phone
- (602) 979-0309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 006374 | AZ | Primary |
Addresses
Primary practice location
8608 N 59TH Ave
Glendale, AZ 85302-5404
Mailing address
8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone (623) 979-2565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0530867 | Thunderbird Family Medicine | Certificate of waiver | Aug 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
5114 W Peoria Ave
Glendale, AZ 85302
Phone (623) 979-0309
Interoperability endpoints
- https://api.platform.athenahealth.com/15843/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1225399736
-
- Physician Assistant
- Glendale, AZ
- NPI 1306327234
-
- Physician Assistant
- Scottsdale, AZ
- NPI 1023598505
-
- Physician Assistant
- Glendale, AZ
- NPI 1689452948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1134596174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8608 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853025404",
"telephone_number": "623-979-2565",
"fax_number": "623-979-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8608 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853025404",
"telephone_number": "623-979-2565",
"fax_number": "623-979-2463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THUNDERBIRD FAMILY MEDICINE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "MARQUARD",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-979-0309",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "006374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.