Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicholas Eugene Maksim, DO, RPH

Individual provider Internal Medicine Physician · NPI 1497968655

Dr. Nicholas Eugene Maksim, DO, RPH is a Cardiovascular Disease (Cardiology) in Springfield, Ohio. Graduated from Ohio Medical University in 2004, 22 years ago. Practices with Osup Community Outreach LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Trained at
Ohio Medical University
Licensed in
OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

247 S Burnett Rd Ste 120
Springfield, OH 45505
Phone: (740) 845-7700
Fax: (740) 845-7701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 247 S Burnett Rd, Springfield, OH 45505-2639 — (740) 845-7700

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 34009062 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 58-001639 (OH)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 34.009062 (OH)

Record details

NPI number1497968655
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , RPH
Sole proprietorYes
NPI enumeratedMay 7, 2007
Last updated in NPPESSeptember 26, 2024
Certification dateJuly 11, 2024
Mailing address210 N Main Street, London, OH 43140-1115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOHIO MEDICAL UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Osup Community Outreach Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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