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LICKING MEMORIAL OTOLARYNGOLOGY
NPI 1083646442
Otolaryngology in Newark, OH

Active since July 07, 2006
88 MCMILLEN DR, NEWARK, OH 43055(740) 348-4270(740) 348-4272 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Licking Memorial Otolaryngology NPPES

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

LICKING MEMORIAL OTOLARYNGOLOGY (NPI 1083646442) is a healthcare organization registered as an otolaryngology in Newark, Ohio and active in the NPI registry since July 2006. The organization lists Robert A. Montagense, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1083646442
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address88 MCMILLEN DRNewark, OH 43055-5814
Mailing Address88 Mcmillen DrNewark, OH 43055-5814 · (740) 348-4270 · Fax (740) 348-4272
Phone(740) 348-4270
Fax(740) 348-4272
Organization SubpartNo
Authorized OfficialRobert A. MontagenseExecutive Vice President · (740) 348-4000
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083646442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
88 MCMILLEN DR, Newark, OH 43055
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Other Names 1

Doing Business AsLicking Memorial Otolaryngology

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 4

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

BROOKE MARLOWE MORRISON PHARMD, CDCES
Pharmacist
88 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-1898
MRS. KELSEY DANAE HIRSCH RD
Dietitian, Registered
88 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-1898
BRENT RALEY
Pharmacist (Ambulatory Care)
88 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-1898
MRS. JAMIE CHARTON ANDERSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
88 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-1898

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 1083646442. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Licking Memorial Otolaryngology.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 88 Mcmillen Dr, Newark, OH 43055. The listed phone number is (740) 348-4270.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.