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LICKING MEMORIAL FAMILY PRACTICE EAST
NPI 1073531729
Family Medicine in Newark, OH

Active since July 18, 2006
399 E MAIN ST, NEWARK, OH 43055(740) 348-1849(740) 348-1847 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Licking Memorial Family Practice East NPPES

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

LICKING MEMORIAL FAMILY PRACTICE EAST (NPI 1073531729) is a healthcare organization registered as a family medicine in Newark, Ohio and active in the NPI registry since July 2006. The organization lists Robert Montagnese, Executive V.p., as its authorized official.

NPPES Registry Identity

NPI1073531729
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP
Location Address399 E MAIN STNewark, OH 43055-6516
Mailing Address399 E Main StNewark, OH 43055-6516 · (740) 348-1849 · Fax (740) 348-1847
Phone(740) 348-1849
Fax(740) 348-1847
Organization SubpartNo
Authorized OfficialRobert MontagneseExecutive V.p. · (740) 348-4000
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073531729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

399 E MAIN ST, Newark, OH 43055
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Other Names 1

Doing Business AsLicking Memorial Family Practice East

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA M TIMSON MD
Family Medicine
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1846
PRIYANSHI PATEL MD
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1840
LICKING MEMORIAL PROFESSIONAL CORP.
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Licking County (740) 348-1840
AMANDA LEIGH DAY APRN
Nurse Practitioner (Pediatrics)
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1840
DR. DIANE LEMAY MD
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Licking County (740) 348-1840
ERIKA FORGRAVE
Speech-Language Pathologist
399 E MAIN ST
NEWARK, OH 43055
Licking County (614) 355-9779

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 Corp's NPI number?

The NPI number for Licking Memorial Professional Corp is 1073531729. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Licking Memorial Family Practice East.

Where is Licking Memorial Professional Corp located?

Licking Memorial Professional Corp is located at 399 E Main St, Newark, OH 43055. The listed phone number is (740) 348-1849.

What is Licking Memorial Professional Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corp was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.