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BURNSIDE SURGERY CENTER LLC
NPI 1013417351
Clinic/Center - Ambulatory Surgical in Gresham, OR

Active since February 13, 2018CLIA 38D2150925 · Waiver
689 NW BURNSIDE RD FL 1, GRESHAM, OR 97030(503) 382-8140 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2021, Feb 13, 2018 (2 updates tracked since 2018).

About Burnside Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURNSIDE SURGERY CENTER LLC (NPI 1013417351) is a healthcare organization registered as an ambulatory surgical in Gresham, Oregon and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Oleg Maksimov, Director, as its authorized official.

NPPES Registry Identity

NPI1013417351
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBURNSIDE SURGERY CENTER LLC
Location Address689 NW BURNSIDE RD FL 1Gresham, OR 97030-3739
Mailing Address689 Nw Burnside Rd Fl 1Gresham, OR 97030-3739
Phone(503) 382-8140
Organization SubpartNo
Authorized OfficialOleg MaksimovDirector · (503) 915-9217
Enumeration DateFebruary 13, 2018
Last NPPES UpdateMay 23, 20212 updates tracked since enumeration
NPPES CertifiedMay 23, 2021
✔ NPI 1013417351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OR · 07-1645
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License MD28526 (OR)
689 NW BURNSIDE RD FL 1, Gresham, OR 97030
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2150925

Burnside Surgery Center · Gresham, OR
Active · expires Jul 5, 2028
CLIA Number38D2150925
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorOleg I. Maksimov MD
Laboratory Phone(503) 382-8152
Laboratory LocationBurnside Surgery Center689 NW Burnside Road, Gresham, OR 97030
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
129 services62 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
108 services34 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
90 services43 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services22 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
43 services20 patients
Insertion of peripheral nerve neurostimulator electrode through skin 64555
This procedure involves placing a small electrode under the skin to stimulate peripheral nerves. It helps manage chronic pain by sending mild electrical signals to the nervous system, interrupting pain signals before they reach the brain.
36 services19 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burnside Surgery Center LLC's NPI number?

The NPI number for Burnside Surgery Center LLC is 1013417351. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Burnside Surgery Center LLC located?

Burnside Surgery Center LLC is located at 689 NW Burnside Rd Fl 1, Gresham, OR 97030. The listed phone number is (503) 382-8140.

What is Burnside Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Burnside Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2150925) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Burnside Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Burnside Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burnside Surgery Center LLC was last updated on May 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.