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

Licking Memorial Professional Corp

Organization Pediatrics Physician · NPI 1144240581

Licking Memorial Professional Corp is a Pediatrics Physician in Pataskala, Ohio. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Healthy Pl Ste 203
Pataskala, OH 43062
Phone: (740) 348-1925
Fax: (740) 348-1926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1144240581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Webster — Vp Financial Service · (740) 348-4000
Other names Licking Memorial Pediatrics Pataskala
NPI enumeratedJuly 20, 2006
Last updated in NPPESOctober 13, 2014
Mailing address1 Healthy Pl, Ste 203, Pataskala, OH 43062

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