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

Licking Memorial Professional Corporation

Organization Gynecology Physician · NPI 1053758631

Licking Memorial Professional Corporation is a Gynecology Physician in Newark, Ohio. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

270 Goosepond Rd Ste 102
Newark, OH 43055
Phone: (740) 348-7945
Fax: (740) 348-7946
Show map & directions

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

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1053758631
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLicking Memorial Professional Corporation
Authorized official Cynthia Webster — Vp Financial Service · (740) 348-4518
Other names Licking Memorial Women'S Health- North Newark
NPI enumeratedMay 23, 2013
Last updated in NPPESMay 23, 2013
Mailing address270 Goosepond Rd., Ste 102, Newark, OH 43055

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