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

Licking Memorial Professional Corporation

Organization Emergency Medicine Physician · NPI 1285676346

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

In the registry since
2006

Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (740) 348-4144
Fax: (740) 348-4145
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1285676346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vice President · (740) 348-4000
Other names Licking Memorial Emergency Medicine
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1320 W Main St, Newark, OH 43055-1822

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