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

Licking Memorial Professional Corp

Organization Family Medicine Physician · NPI 1831381797

Licking Memorial Professional Corp is a Family Medicine Physician in Newark, Ohio. Registered with an NPI since 2007.

In the registry since
2007
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

270 Goosepond Rd
Newark, OH 43055-3104
Phone: (740) 348-7960
Fax: (740) 348-7961
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1831381797
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Webster — Vp Of Financial Services · (740) 348-4819
Other names Licking Memorial Family Practice North Newark
NPI enumeratedAugust 15, 2007
Last updated in NPPESOctober 12, 2011
Mailing address270 Goosepond Rd, Newark, OH 43055-3104

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