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LICKING MEMORIAL PROFESSIONAL CORPORATION NPI 1093955932


NPI Information

NPI: 1093955932
Provider Name: LICKING MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LICKING MEMORIAL PATASKALA SPECIALTIES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1 HEALTHY PL STE 202
PATASKALA, OH
ZIP 43062
Phone: (740) 348-1935
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LICKING MEMORIAL PROFESSIONAL CORPORATION is a surgery in Pataskala, OH. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. LICKING MEMORIAL PROFESSIONAL CORPORATION NPI is 1093955932. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Licking Memorial Pataskala Specialties.

The provider's business location address is:

1 HEALTHY PL STE 202
PATASKALA, OH
ZIP 43062-067
Phone: (740) 348-1935
Fax: (740) 348-1936

The provider's authorized official is Cynthia Webster .
The authorized official title is Vp Revenue Cycle & Interim Vp Finan and has the following contact phone number (740) 348-4027.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 3/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery34008308OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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