LICKING MEMORIAL ONCOLOGY/HEMATOLOGY
NPI 1124048566
Internal Medicine - Hematology & Oncology in Newark, OH

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since July 20, 2006

1320 W MAIN ST, NEWARK, OH 43055(740) 348-4475(740) 348-4412 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Licking Memorial Oncology/hematology NPPES

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

LICKING MEMORIAL ONCOLOGY/HEMATOLOGY (NPI 1124048566) is a healthcare organization registered as a hematology & oncology in Newark, Ohio and active in the NPI registry since July 2006. The organization lists Robert A. Montagnese, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1124048566

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION

Location Address1320 W MAIN STNewark, OH 43055-1822

Mailing Address1320 W Main StNewark, OH 43055-1822 · (740) 348-4475 · Fax (740) 348-4412

Phone(740) 348-4475

Fax(740) 348-4412

Organization SubpartNo

Authorized OfficialRobert A. MontagneseExecutive Vice President · (740) 348-4000

Enumeration DateJuly 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124048566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1320 W MAIN ST, Newark, OH 43055

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Other Names 1

Doing Business AsLicking Memorial Oncology/hematology

Other Identifiers 1

Medicaid2141328OH

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 20

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

DR. MATTHEW CRAIG BROMLEY D.O.

Emergency Medicine