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

Licking Memorial Professional Corp

Organization Pediatrics Physician · NPI 1659445070

Licking Memorial Professional Corp is a Pediatrics 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

1320 W Main St
Newark, OH 43055-1822
Phone: (740) 348-3335
Fax: (740) 348-4012
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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 number1659445070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vice President · (740) 348-4000
Other names Licking Memorial Inpatients Pediatrics
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1320 W Main St, Newark, OH 43055-1822

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