Oleg Maksimov, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD28526 Issued in OR

Practice address

689 NW Burnside Rd FL 2
Gresham, OR 97030-3739

Phone

(503) 382-8106

Fax

(503) 382-8100

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Pain and Spine InstituteGroup PAC ID 2769738301, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Portland Hospital, Portland, OR, CCN 380060
• Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omaksimov154630@direct.ohsu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbia Pain and Spine Institute

  • Physical Medicine & Rehabilitation Physician
  • Gresham, OR
  • NPI 1972813962
  Medicare reassignment Care Compare group Authorized official
• Burnside Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Gresham, OR
  • NPI 1013417351

  Pain Medicine

  NPD Authorized official
• Columbia Pain and Spine Institute

  • Clinical Medical Laboratory
  • Gresham, OR
  • NPI 1821341223
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Legacy Mount Hood Medical Center

  • General Acute Care Hospital
  • Gresham, OR
  • NPI 1255354700
  Care Compare affiliation
• Portland Adventist Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1780796326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 NW BURNSIDE RD FL 1",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303739",
            "telephone_number": "503-382-8106",
            "fax_number": "503-382-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 NW BURNSIDE RD FL 2",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303739",
            "telephone_number": "503-382-8106",
            "fax_number": "503-382-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSIMOV",
        "first_name": "OLEG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD431737",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD28526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Psychology Inc
• Main Street Dental
• Joyce Maina
• Ryan George Maize
• Jaime Majure
• Sohil R Makwana, MD, MPH
• Walter Makworo
• Linda Nell Malenowsky, RN
• Natasha Mona Malik, PHARMD
• Maria Victoria Manarang, RDH

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.