Thunderbird Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

OSC 2750 Issued in AZ

Legal business name

THUNDERBIRD ENDOSCOPY CENTER

Practice address

5823 W Eugie Ave
Ste B
Glendale, AZ 85304-1276

Phone

(602) 439-1717

Fax

(602) 938-0292

NPI assigned

May 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirley Schuller, RN

Title

Clinical Director

Phone

(602) 439-1717

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801842927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE",
            "address_2": "STE B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041276",
            "telephone_number": "602-439-1717",
            "fax_number": "602-938-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE",
            "address_2": "STE B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041276",
            "telephone_number": "602-439-1717",
            "fax_number": "602-938-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-439-1717",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "AZ",
            "license": "OSC 2750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0207240",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "120130",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Health LLC
• Thrivewell Health Centers LLC
• Thunderbird Chiropractic, Inc.
• Thunderbird Dental Trust
• Thunderbird Dentistry (AZ Cosmetic & Family Dentistry)
• Thunderbird Family Medicine LTD
• Thunderbird Internal Medicine, LTD.
• Thunderbird Obstetrics & Gynecology, LTD.
• Thunderbird Podiatry (Southwest Foot and Ankle Consultants)
• Thunderbird Treatment Center Inc

• Endoscopy Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Endoscopy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.