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LICKING MEMORIAL FAMILY PRACTICE
NPI 1093757155
Family Medicine in Newark, OH

Active since June 12, 2006
150 MCMILLEN DR, NEWARK, OH 43055(740) 348-4827(740) 348-1894 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 NPPES

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

LICKING MEMORIAL FAMILY PRACTICE (NPI 1093757155) is a healthcare organization registered as a family medicine in Newark, Ohio and active in the NPI registry since June 2006. The organization lists Robert A. Montagnese, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1093757155
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address150 MCMILLEN DRNewark, OH 43055-1811
Mailing Address150 Mcmillen DrNewark, OH 43055-1811 · (740) 348-4827 · Fax (740) 348-1894
Phone(740) 348-4827
Fax(740) 348-1894
Organization SubpartNo
Authorized OfficialRobert A. MontagneseExecutive Vice President · (740) 348-4000
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093757155 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.

150 MCMILLEN DR, Newark, OH 43055
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Other Names 1

Doing Business AsLicking Memorial Family Practice

Other Identifiers 1

Medicaid0119044OH

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.

DR. PATTYE WHISMAN MD
Family Medicine
150 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-4827
DR. NOMAN AHMED MD
Psychiatry & Neurology (Neurology)
150 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-7985
GLORIA M GALLOWAY MD
Psychiatry & Neurology (Neurology)
150 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-7985
PREM MATHAI MD
Psychiatry & Neurology (Neurology)
150 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-7985
DR. GARLAND TANG M.D.
Psychiatry & Neurology (Neurology)
150 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-7985
DR. KATRINA VERDE MD
Family Medicine
150 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 348-4824

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 1093757155. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Licking Memorial Family Practice.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 150 Mcmillen Dr, Newark, OH 43055. The listed phone number is (740) 348-4827.

What is Licking Memorial Professional Corporation'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 Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.