Individual provider Active NPI

June A. Kwark, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1154428415
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22526 Issued in AZ
Practice address
5757 W. Thunderbird Road
Suite W202
Glendale, AZ 85306-5612
Phone
(602) 678-1111
Fax
(602) 678-7090
NPI assigned
Sep 20, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2024-0299 NM
Obstetrics & Gynecology Physician 207V00000X 22526 AZ Primary

Addresses

Primary practice location

5757 W. Thunderbird Road
Suite W202
Glendale, AZ 85306-5612

Mailing address

5757 W. Thunderbird Road
Suite W202
Glendale, AZ 85306-5612
Phone (602) 678-1111

Other practice location 1

610 W Pinon St
Farmington, NM 87401-5974
Phone (505) 609-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101206000739 AZ Practitioner - Obstetrics/Gynecology 9830124577 Reassigns benefits to 2 organizations
I20240422001933 NM Practitioner - Obstetrics/Gynecology 9830124577 Reassigns benefits to 1 organization
I20250313002722 VA Practitioner - Obstetrics/Gynecology 9830124577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028-6025
Phone (602) 494-5050

610 W Pinon St
SJHP OB and GYN 610
Farmington, NM 87401-5974
Phone (505) 325-1123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22526AZMDObstetrics & Gynecology Physician
MD2024-0299NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC Obstetrics & Gynecology CurrentSince Jan 6, 2025 Accepting new patients
Thunderbird Obstetrics & Gynecology, LTD. Obstetrics & Gynecology CurrentSince Jul 22, 1994 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Apr 12, 2024 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Jan 6, 2025 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Apr 12, 2024 Accepting new patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Camelback Womens Health, PC Obstetrics & Gynecology PastSince Sep 15, 2000 Accepting new patients

Locations

5757 W Thunderbird Rd
Ste W202
Glendale, AZ 85306
Phone (602) 298-1932

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

11209 N Tatum Blvd
Ste 255
Phoenix, AZ 85028
Phone (602) 494-5050

50 E Dunlap Ave
Ste 200
Phoenix, AZ 85020
Phone (602) 678-1111

120 Llano St
Aztec, NM 87410
Phone (505) 334-3404

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

610 W Pinon St
#610
Farmington, NM 87401
Phone (505) 325-1123

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: june.kwark.1@19050.direct.athenahealth.com
  • Direct secure messaging: june.kwark.1@19847.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1154428415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W. THUNDERBIRD ROAD",
            "address_2": "SUITE W202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853065612",
            "telephone_number": "602-678-1111",
            "fax_number": "602-678-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W. THUNDERBIRD ROAD",
            "address_2": "SUITE W202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853065612",
            "telephone_number": "602-678-1111",
            "fax_number": "602-678-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Pinon St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015974",
            "country_code": "US",
            "telephone_number": "505-609-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWARK",
        "first_name": "JUNE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2024-0299",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "22526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.