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THUNDERBIRD FAMILY MEDICINE LTD
NPI 1134596174
Family Medicine in Glendale, AZ

Active since August 25, 2015CLIA 03D0530867 · Waiver
8608 N 59TH AVE, GLENDALE, AZ 85302(623) 979-2565(623) 979-2463 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2024, Nov 19, 2015 (2 updates tracked since 2015).

About Thunderbird Family Medicine Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THUNDERBIRD FAMILY MEDICINE LTD (NPI 1134596174) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Scott Marquard, Owner, as its authorized official.

NPPES Registry Identity

NPI1134596174
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHUNDERBIRD FAMILY MEDICINE LTD
Location Address8608 N 59TH AVEGlendale, AZ 85302-5404
Mailing Address8608 N 59th AveGlendale, AZ 85302-5404 · (623) 979-2565 · Fax (623) 979-2463
Phone(623) 979-2565
Fax(623) 979-2463
Organization SubpartNo
Authorized OfficialScott MarquardOwner · (602) 979-0309
Enumeration DateAugust 25, 2015
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1134596174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 006374
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8608 N 59TH AVE, Glendale, AZ 85302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thunderbird Family Medicine Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Thunderbird Family Medicine Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Aspen Calkins, DO
Family Practice
NPI 1215299946
8608 N 59TH AVE
Glendale, AZ 85302
(623) 979-2565
✔ PECOS✔ Accepts MedicareSame address
Scott Marquard, D.O.
Family Practice
NPI 1225399736
8608 N 59TH AVE
Glendale, AZ 85302
(623) 979-2565
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0530867

Thunderbird Family Medicine · Glendale, AZ
Active · expires Aug 14, 2027
CLIA Number03D0530867
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorMichael Poindexter
Laboratory Phone(623) 979-2565
Laboratory LocationThunderbird Family Medicine8608 N 59th Ave, Glendale, AZ 85302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thunderbird Family Medicine Ltd's NPI number?

The NPI number for Thunderbird Family Medicine Ltd is 1134596174. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Thunderbird Family Medicine Ltd located?

Thunderbird Family Medicine Ltd is located at 8608 N 59th Ave, Glendale, AZ 85302. The listed phone number is (623) 979-2565.

What is Thunderbird Family Medicine Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thunderbird Family Medicine Ltd enrolled in Medicare?

Yes. Thunderbird Family Medicine Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thunderbird Family Medicine Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Thunderbird Family Medicine Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thunderbird Family Medicine Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0530867) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thunderbird Family Medicine Ltd was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.