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

Licking Memorial Professional Corporation

Organization Otolaryngology Physician · NPI 1083646442

Licking Memorial Professional Corporation is an Otolaryngology Physician in Newark, Ohio. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

88 McMillen Dr
Newark, OH 43055-5814
Phone: (740) 348-4270
Fax: (740) 348-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1083646442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagense — Executive Vice President · (740) 348-4000
Other names Licking Memorial Otolaryngology
NPI enumeratedJuly 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address88 McMillen Dr, Newark, OH 43055-5814

Other providers in Newark