Organization Active NPI

Tbird Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, AZ
National Provider Identifier
1699569152
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TBIRD ENDOSCOPY LLC
Practice address
5823 W Eugie Ave Ste B
Glendale, AZ 85304-1277
Phone
(602) 734-5117
NPI assigned
Apr 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Eugene Verkhovsky, MD
Title
Ceo
Phone
(818) 390-3760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5823 W Eugie Ave Ste B
Glendale, AZ 85304-1277

Mailing address

5823 W Eugie Ave Ste B
Glendale, AZ 85304-1277

Other names 1

  • Glendale Endoscopy Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2323080Glendale Endoscopy Center5823 W Eugie Ave Ste B, Glendale, AZ 85304Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Locations

5823 W Eugie Ave
Ste B
Glendale, AZ 85304
Phone (602) 424-4050

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1699569152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE STE B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE STE B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041277",
            "telephone_number": "602-734-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBIRD ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "VERKHOVSKY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-390-3760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.