Maksim Ivan Yablonsky

Primary specialty

Biomedical Engineering TechnicianTaxonomy code 2472B0301X

Practice address

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Phone

(503) 919-0443

NPI assigned

May 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1336761998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-919-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-919-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABLONSKY",
        "first_name": "MAKSIM",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472B0301X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Biomedical Engineering",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alf Edward Wyller, M.D.
• Carter C. Wystrach, MD, MPH
• Anna Xie
• Fengping Xu, M.D.
• Yifan Xu, M.D.
• Chandana Yakkaluri
• Caroline Yi Yang, M.D
• Muen Yang, O.D.
• Rui Yang, M.D.
• Wei-Lin Yang, D.O.

• Other Technician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Other Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.