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 1235159674

Licking Memorial Professional Corp is an Obstetrics & Gynecology 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.

See every abbreviation used in this directory →

Practice location Address checks out

1 Healthy Pl Ste 103
Pataskala, OH 43062-7067
Phone: (740) 348-1920
Fax: (740) 348-1921
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 number1235159674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagense — Executive V.P. · (740) 348-4000
Other names Licking Memorial Womens Health Pataskala
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1 Healthy Pl, Suite 103, Pataskala, OH 43062-7067

Other providers in Pataskala