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 1497771521

Licking Memorial Professional Corp is a Pediatrics Physician in Utica, 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

240 N Main St
Utica, OH 43080
Phone: (740) 348-1740
Fax: (740) 348-1741
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1497771521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive V.P. · (740) 348-4000
Other names Licking Memorial Pediatrics-Utica
NPI enumeratedJuly 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address240 N. Main St, Utica, OH 43080