Individual provider Active NPI

Scott Marquard, D.O.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1225399736
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2148 Issued in AZ
Practice address
8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone
(623) 979-2565
Fax
(623) 979-2463
NPI assigned
May 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2148 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
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141010002423 AZ Practitioner - Family Practice 5092935197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thunderbird Family Medicine LTDGroup PAC ID 2365744265, 2 clinicians

Practice addresses (Care Compare)

8608 N 59TH Ave
Glendale, AZ 85302-5404
Phone (623) 979-2565

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions73
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2148AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thunderbird Family Medicine LTD Family Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

5114 W Peoria Ave
Glendale, AZ 85302
Phone (623) 979-0309

8608 N 59th Ave
Glendale, AZ 85302
Phone (623) 934-3211

Interoperability endpoints

  • Direct secure messaging: scott.marquard.1@15843.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15843/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225399736",
    "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": {
        "last_name": "MARQUARD",
        "first_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.