MAYSVILLE MEDICAL, LLC
NPI 1730691189
Clinic/Center - Methadone in Maysville, KY
About Maysville Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYSVILLE MEDICAL, LLC (NPI 1730691189) is a healthcare organization registered as a methadone in Maysville, Kentucky and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Robyn Tanis, Exec Director Contract Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 18D2119750
Maysville Medical · Maysville, KYOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Maysville Medical, LLC's NPI number?
The NPI number for Maysville Medical, LLC is 1730691189. It was assigned to this organization in the NPPES registry on October 25, 2017.
Where is Maysville Medical, LLC located?
Maysville Medical, LLC is located at 152 E 2nd St, Maysville, KY 41056. The listed phone number is (606) 564-0303.
What is Maysville Medical, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.
Does Maysville Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2119750) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Maysville Medical, LLC was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Maysville Medical, Llc · NPI 1730691189
Methadone organization in Maysville, Kentucky. Organization record, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1730691189 (Entity type: Organization)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Clinic/Center - Methadone · taxonomy 261QM2800X
- **Organization subpart:** No
- **Authorized official:** Robyn Tanis, EXEC DIRECTOR CONTRACT MANAGEMENT
## Practice location
- **Address:** 152 E 2ND ST, Maysville, KY 41056-1264
- **Phone:** (606) 564-0303
## Record status
- **NPPES last updated:** October 25, 2017
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1730691189) · Data from the CMS NPPES public registry.