LICKING MEMORIAL PROFESSIONAL CORP NPI 1659445070

NPI Information

  • NPI: 1659445070
  • Provider Name: LICKING MEMORIAL PROFESSIONAL CORP
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: LICKING MEMORIAL INPATIENTS PEDIATRICS
  • Address: 1320 W MAIN ST
    NEWARK, OH
    ZIP 43055
  • Phone: (740) 348-3335

Map and Directions

Get Directions

NPI Details

LICKING MEMORIAL PROFESSIONAL CORP is a pediatrics in Newark, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LICKING MEMORIAL PROFESSIONAL CORP NPI is 1659445070. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Inpatients Pediatrics.

The provider's business location address is:

1320 W MAIN ST
NEWARK, OH
ZIP 43055-822
Phone: (740) 348-3335
Fax: (740) 348-4012

The provider's authorized official is Robert A. Montagnese .
The authorized official title is Executive Vice President and has the following contact phone number (740) 348-4000.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.