Camelback Pain Center PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CAMELBACK PAIN CENTER PLLC

Practice address

5410 N Scottsdale Rd Ste I-100a
Paradise Valley, AZ 85253-5927

Phone

(480) 572-2444

Fax

(602) 581-7158

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Dubiel

Title

Director

Phone

(480) 572-2444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norvan K Vartevan, DO

  • Pain Medicine (Anesthesiology) Physician
  • Paradise Valley, AZ
  • NPI 1093051674
  Medicare reassignment NPD
• Vitaliy Zhivotenko, D.O.

  • Interventional Pain Medicine Physician
  • Paradise Valley, AZ
  • NPI 1336431907
  Medicare reassignment NPD
• Taylor Clark, PA-C

  • Physician Assistant
  • Huntsville, AL
  • NPI 1114578994

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1770197873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD STE I-100A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-572-2444",
            "fax_number": "602-581-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD STE I-100A",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535927",
            "telephone_number": "480-572-2444",
            "fax_number": "602-581-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 E Lafayette Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852513028",
            "country_code": "US",
            "telephone_number": "214-893-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMELBACK PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "DUBIEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-572-2444"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Shae Boyd, M.A., CCC-SLP
• Joel Victor Brill, MD
• Leisa Bryan, DMD
• Brian Edmund Bureau, AU.D
• Camelback Acute Car Surgery
• Camelback Pain Lien
• Camelback Pain PLLC
• Barbara A Campbell, D.P.M.
• Cardiac Care Alliance Network of Arizona LLC
• Care 2 Care ABA LLC

• Pain Medicine (Anesthesiology) Physician in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.