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LICKING MEMORIAL PHYSICIAN WOUND SERVICES
NPI 1154496503
General Practice in Newark, OH

Active since November 21, 2006
2000 TAMARACK RD, NEWARK, OH 43055(740) 348-1993(740) 348-1994 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Licking Memorial Physician Wound Services NPPES

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

LICKING MEMORIAL PHYSICIAN WOUND SERVICES (NPI 1154496503) is a healthcare organization registered as a general practice in Newark, Ohio and active in the NPI registry since November 2006. The organization lists Cynthia L. Webster, Vp Financial Service, as its authorized official.

NPPES Registry Identity

NPI1154496503
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP.
Location Address2000 TAMARACK RDNewark, OH 43055
Mailing Address2000 Tamarack RdNewark, OH 43055 · (740) 348-1993 · Fax (740) 348-1994
Phone(740) 348-1993
Fax(740) 348-1994
Organization SubpartNo
Authorized OfficialCynthia L. WebsterVp Financial Service · (740) 348-4518
Enumeration DateNovember 21, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1154496503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2000 TAMARACK RD, Newark, OH 43055
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Other Names 1

Doing Business AsLicking Memorial Physician Wound Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

JUDSON CARLTON BRANDENBURG
Respiratory Therapist, Certified
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-2600
BETTY S. GEBHART LISW
Social Worker (Clinical)
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-4870
MEDICAL CENTER OF NEWARK, L.L.C.
General Acute Care Hospital
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (740) 522-7800
CONNIE GREENE CRNA
Nurse Anesthetist, Certified Registered
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (614) 235-2326
S ANNE MILLER-COHEN CRNA
Nurse Anesthetist, Certified Registered
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (614) 235-2326
NEWARK AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (740) 788-6010
MCN HOSPITALIST GROUP LLC
Internal Medicine
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (740) 522-7800
JAMES W WENDORFF DO
Anesthesiology
2000 TAMARACK RD
NEWARK, OH 43055
Licking County (614) 235-2326

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 1154496503. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Licking Memorial Physician Wound Services.

Where is Licking Memorial Professional Corp. located?

Licking Memorial Professional Corp. is located at 2000 Tamarack Rd, Newark, OH 43055. The listed phone number is (740) 348-1993.

What is Licking Memorial Professional Corp.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corp. was last updated on February 18, 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.