Ellsworth Physician Services

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ELLSWORTH PHYSICIAN SERVICES

Practice address

2919 S Ellsworth Rd Ste 109
Mesa, AZ 85212-2165

Phone

(480) 354-2008

Fax

(480) 907-1322

NPI assigned

Mar 23, 2021

Last updated

Jul 8, 2026By 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

Armen Derian, MDNPI 1275978876

Title

Member

Phone

(480) 597-4321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armen Derian, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mesa, AZ
  • NPI 1275978876
  Medicare reassignment Care Compare group NPD Authorized official
• Evan Franke, M.D.

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1316382583
  Medicare reassignment Care Compare group NPD
• Jamal D Dabbah, M.D.

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1427304963
  Medicare reassignment NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1386220937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165",
            "telephone_number": "480-354-2008",
            "fax_number": "480-907-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122165",
            "telephone_number": "480-354-2008",
            "fax_number": "480-907-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "DERIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-597-4321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dotson Elliott, D.M.D.
• Sandra Marie Elliott, PT, MPT
• Anna Ellis, MA, CCC-A
• Devin Alexander Ellis, LPC
• Ellsworth Foot and Ankle PLLC
• Allison Ellsworth, LAMFT
• David T Ellsworth, D.P.M
• Elmo Sky LLC
• Christopher Elmore, MD
• Diane L. Elmore, M.D.

• Interventional Pain Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.