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

Ekaterina Maksimov

Individual provider Registered Nurse · NPI 1619658564

Ekaterina Maksimov is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, South Carolina. Qualified in 2024, 2 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 455-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 171 Ashley Ave, Charleston, SC 29425-8908 — (843) 792-1414
  • 7 Independence Pt Ste 300, Greenville, SC 29615-4569 — (864) 522-3700

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 149140 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 234079 (SC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 28799 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619658564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville