Organization Active NPI

Pain Consultants of Arizona, PC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1437234465
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
28310 Issued in AZ
Legal business name
PAIN CONSULTANTS OF ARIZONA, PC
Practice address
20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204
Phone
(480) 222-7246
Fax
(480) 222-7271
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Peter Kubitz, DO
Title
DO
Phone
(480) 222-7246

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 28310 AZ
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 4087 AZ
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 28310 AZ Primary

Addresses

Primary practice location

20950 N Tatum Blvd Ste 100
Phoenix, AZ 85050-4204

Mailing address

20950 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-4200
Phone (480) 222-7246

Other practice location 1

4025 W Chandler Blvd Ste 1
Chandler, AZ 85226-3771
Phone (480) 222-7246

Other practice location 2

8630 E Via De Ventura Ste 105
Scottsdale, AZ 85258-3340
Phone (480) 222-7246

Other identifiers 2

IdentifierTypeStateIssuer
AZ0463800OtherAZPAUL'S BCBS #
AZ0743670OtherAZDR. RUBIN'S BCBS #

Other names 1

  • Mark J Rubin MD PC DBA Arizona Center for Pain Relief Former legal business name

National Provider Directory

National Provider Directory

Locations

4025 W Chandler Blvd
Ste 1C
Chandler, AZ 85226
Phone (480) 222-7246

4025 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 222-7246

20950 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 222-7246

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1437234465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504200",
            "telephone_number": "480-222-7246",
            "fax_number": "602-322-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504204",
            "telephone_number": "480-222-7246",
            "fax_number": "480-222-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 W Chandler Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852263771",
            "country_code": "US",
            "telephone_number": "480-222-7246",
            "fax_number": "480-222-7271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8630 E Via De Ventura Ste 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852583340",
            "country_code": "US",
            "telephone_number": "480-222-7246",
            "fax_number": "480-222-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN CONSULTANTS OF ARIZONA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "KUBITZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "480-222-7246",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "28310",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "4087",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "28310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL'S BCBS #",
            "identifier": "AZ0463800",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. RUBIN'S BCBS #",
            "identifier": "AZ0743670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark J Rubin MD PC DBA Arizona Center for Pain Relief",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mark J Rubin MD PC DBA Arizona Center for Pain Relief",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.