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

Licking Memorial Professional Corporation

Organization Anesthesiology Physician · NPI 1376585430

Licking Memorial Professional Corporation is an Anesthesiology 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) 348-4226
Fax: (740) 348-4219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1376585430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vice President · (740) 348-4000
Other names Licking Memorial Anesthesiology
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1320 W Main St, Newark, OH 43055-1822

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