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

Licking Memorial Professional Corp

Organization Obstetrics & Gynecology Physician · NPI 1174541924

Licking Memorial Professional Corp is an Obstetrics & Gynecology Physician in Newark, 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

15 Messimer Dr
Newark, OH 43055-1841
Phone: (740) 348-4694
Fax: (740) 348-1978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1174541924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vp · (740) 348-4000
Other names Licking Memorial Women'S Health
NPI enumeratedJuly 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address15 Messimer Dr, Newark, OH 43055-1841

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