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ST. ELIZABETH PHYSICIANS MAYSVILLE DIAGNOSTIC CENTER, LLC
NPI 1659633774
Clinic/Center in Maysville, KY

Active since June 14, 2012
910 KENTON STATION DR, SUITE E, MAYSVILLE, KY 41056(606) 759-0073(606) 759-0075 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Elizabeth Physicians Maysville Diagnostic Center, Llc NPPES

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

ST. ELIZABETH PHYSICIANS MAYSVILLE DIAGNOSTIC CENTER, LLC (NPI 1659633774) is a healthcare organization registered as a clinic/center in Maysville, Kentucky and active in the NPI registry since June 2012. The organization lists Glenn Loomis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659633774
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST. ELIZABETH PHYSICIANS MAYSVILLE DIAGNOSTIC CENTER, LLC
Location Address910 KENTON STATION DR, SUITE EMaysville, KY 41056-9613
Mailing Address2300 Chamber Center Dr, Suite 200Lakeside Park, KY 41017-1673 · (859) 344-5555 · Fax (859) 344-5552
Phone(606) 759-0073
Fax(606) 759-0075
Organization SubpartNo
Authorized OfficialGlenn LoomisCeo · (859) 344-3737
Enumeration DateJune 14, 2012
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1659633774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
910 KENTON STATION DR, Maysville, KY 41056
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Other Identifiers 2

Medicare PINK057431KY
Medicaid7100225970KY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA G MARSHALL APRN
Nurse Practitioner (Family)
910 KENTON STATION DR, SUITE C
MAYSVILLE, KY 41056
Mason County (606) 759-0017
LEWIS COUNTY PRIMARY CARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 956-0188
DR. CHRISTOPHER FRANCIS FENNELL D.O.
Psychiatry & Neurology (Psychiatry)
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0490
EVAN BOTHMAN CSW
Social Worker (Clinical)
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
MRS. KAYLA MARIE LINVILLE APRN
Nurse Practitioner
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0490
GARY W ZORNES LCSW
Social Worker (Clinical)
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
MAYSVILLE DIAGNOSTIC CENTER LLC
Clinic/Center
910 KENTON STATION DR, SUITE E
MAYSVILLE, KY 41056
Mason County (606) 759-0073
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0689

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 St. Elizabeth Physicians Maysville Diagnostic Center, LLC's NPI number?

The NPI number for St. Elizabeth Physicians Maysville Diagnostic Center, LLC is 1659633774. It was assigned to this organization in the NPPES registry on June 14, 2012.

Where is St. Elizabeth Physicians Maysville Diagnostic Center, LLC located?

St. Elizabeth Physicians Maysville Diagnostic Center, LLC is located at 910 Kenton Station Dr Suite E, Maysville, KY 41056. The listed phone number is (606) 759-0073.

What is St. Elizabeth Physicians Maysville Diagnostic Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for St. Elizabeth Physicians Maysville Diagnostic Center, LLC was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.