OLEG MAKSIMOV (NPI# 1780796326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780796326 |
| Entity Type | Individual |
| Full Name | OLEG MAKSIMOV |
| Credential | M.D. |
| Practice Address |
831 Nw Council Dr Suite 300 Gresham OR 97030-3721 |
| Practice Telephone | 5033828100 |
| Mailing Telephone | 5033828100 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | MD431737 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
831 NW COUNCIL DR SUITE 300 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1821341223 | Columbia Pain and Spine Institute | Clinical Medical Laboratory | 831 Nw Council Dr, #300, Gresham, OR 97030 | 2012-10-23 |
| 1750643060 | John C. Anderson, M.d., P.C. | Orthopaedic Surgery | 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 | 2012-06-12 |
| 1053699645 | Whitney Blaire Fancher | Dermatology | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3721 | 2011-07-30 |
| 1386897809 | Maria S Kling | Nurse Practitioner | 831 Nw Council Dr, Suite 101, Gresham, OR 97030-3721 | 2008-10-28 |
| 1932376894 | Sarah Schultz | Internal Medicine | 831 Nw Council Dr, Suite 125, Gresham, OR 97030-3721 | 2008-05-09 |
| 1649442476 | Melanie Marie Falgout | Family Medicine | 831 Nw Council Dr, Suite 125, Gresham, OR 97030-3721 | 2008-04-01 |
| 1639352594 | Rose City Breast Care, LLC | Surgery | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3721 | 2007-12-13 |
| 1851587364 | Grayden Woodruff King | Podiatrist | 831 Nw Council Dr, Ste 203, Gresham, OR 97030-3721 | 2007-09-18 |
| 1720278633 | Karen Shaw | Nurse Practitioner | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987836 | Gurleen K Grewal | Physical Medicine & Rehabilitation | 402 Nw 12th Ave, Portland, OR 97209-2907 | 2020-03-18 |
| 1992353668 | Bodyworks Physical Therapy Orthopedic and Sports Rehab | Physical Medicine & Rehabilitation | 3051 South 6th Street, Klamath Falls, OR 97603-4609 | 2019-08-27 |
| 1497300164 | Eric Drake | Physical Medicine & Rehabilitation | 210 W Ellendale Ave Ste 100, Dallas, OR 97338-1790 | 2019-08-08 |
| 1558842054 | Ryan Thomas Willoughby | Physical Medicine & Rehabilitation | 15640 Nw Laidlaw Rd Ste 202, Portland, OR 97229-3828 | 2018-08-23 |
| 1659874238 | Karrie Silva, Lmt | Physical Medicine & Rehabilitation | 1427 Nw 23rd Ave Ste 1, Portland, OR 97210-2645 | 2018-03-09 |
| 1023518784 | Ashli Ann Hatfield | Physical Medicine & Rehabilitation | 470 Ne Stephens St Ste 102, Roseburg, OR 97470-3158 | 2018-02-19 |
| 1477921021 | Kara Rich | Physical Medicine & Rehabilitation | 1706 Ne 114th Ave, Portland, OR 97220 | 2015-09-11 |
| 1396141925 | Brett Edward Hammers | Physical Medicine & Rehabilitation | 58147 Columbia River Hwy Ste A, Saint Helens, OR 97051-6229 | 2014-11-10 |
| 1881022358 | Bauer Medical Group | Physical Medicine & Rehabilitation | 6564 Se Lake Rd, Suite 101, Milwaukie, OR 97222-2237 | 2013-10-21 |
| 1710321476 | Kerry G. Kuschnick | Physical Medicine & Rehabilitation | 2560 S 5th St, Lebanon, OR 97355-2456 | 2013-04-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.