LICKING MEMORIAL WOMEN'S HEALTH- NORTH NEWARK
NPI 1053758631
Obstetrics & Gynecology - Gynecology in Newark, OH

Q: What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Active since May 23, 2013CLIA 36D0327663 · Waiver

270 GOOSEPOND ROAD, STE 102, NEWARK, OH 43055(740) 348-7945(740) 348-7946 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Licking Memorial Women's Health- North Newark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LICKING MEMORIAL WOMEN'S HEALTH- NORTH NEWARK (NPI 1053758631) is a healthcare organization registered as a gynecology in Newark, Ohio and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Cynthia L. Webster, Vp Financial Service, as its authorized official.

NPPES Registry Identity

NPI1053758631

Entity TypeOrganization

Primary Taxonomy207VG0400X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION

Location Address270 GOOSEPOND ROAD, STE 102Newark, OH 43055

Mailing Address270 Goosepond Rd., Ste 102Newark, OH 43055 · (740) 348-7945 · Fax (740) 348-7946

Phone(740) 348-7945

Fax(740) 348-7946

Organization SubpartYes

Authorized OfficialCynthia L. WebsterVp Financial Service · (740) 348-4518

Enumeration DateMay 23, 2013

✔ NPI 1053758631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

270 GOOSEPOND ROAD, Newark, OH 43055

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Other Names 1

Doing Business AsLicking Memorial Women's Health- North Newark

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0327663

Licking Memorial Women's Health · Newark, OH

Active · expires May 15, 2027

CLIA Number36D0327663

Laboratory TypePhysician Office

Certificate Effective DateMay 16, 2025

Certificate Expiration DateMay 15, 2027

Laboratory DirectorEric J. Hoff

Laboratory Phone(220) 564-4699

Laboratory LocationLicking Memorial Women's Health15 Messimer Drive, Newark, OH 43055

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Licking Memorial Professional Corporation's NPI number?

The NPI number for Licking Memorial Professional Corporation is 1053758631. It was assigned to this organization in the NPPES registry on May 23, 2013. The provider is doing business as Licking Memorial Women's Health- North Newark.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 270 Goosepond Road Ste 102, Newark, OH 43055. The listed phone number is (740) 348-7945.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Licking Memorial Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0327663) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on May 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.