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

Licking Memorial Professional Corporation

Organization Internal Medicine Physician · NPI 1861412207

Licking Memorial Professional Corporation is an Internal 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) 348-1791
Fax: (740) 348-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1861412207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robertq Montagnese — Executive V.P. · (740) 348-4000
Other names Licking Memorial Inpatient Medical Specialists
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1320 W Main St, Newark, OH 43055-1822

Other providers in Newark