Active NPI
Tbird Endoscopy LLC
- Ambulatory Surgical Clinic/Center
- Glendale, AZ
National Provider Identifier
1699569152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 03D2323080 | Glendale Endoscopy Center | Certificate of waiver | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.