MAKSIM BOGUSLAVSKIY DO NPI 1821520107

NPI Information

  • NPI: 1821520107
  • Provider Name: MAKSIM BOGUSLAVSKIY, DO
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 PLAZA CT
    EAST STROUDSBURG, PA
    ZIP 18301
  • Phone: (570) 426-2301

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NPI Details

Maksim Boguslavskiy, DO is a surgical critical care surgery in East Stroudsburg, PA with 9 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Maksim Boguslavskiy, DO NPI is 1821520107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 PLAZA CT
EAST STROUDSBURG, PA
ZIP 18301-262
Phone: (570) 426-2301

The NPI 1821520107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 9/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery73584MINNESOTANo
22086S0102XSurgerySurgical Critical CareOS023953PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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