LICKING MEMORIAL WOMENS HEALTH PATASKALA
NPI 1235159674
Obstetrics & Gynecology in Pataskala, OH

NPI Status: Active since July 20, 2006

Contact Information

1 HEALTHY PL
SUITE 103
PATASKALA, OH
ZIP 43062
Phone: (740) 348-1920
Fax: (740) 348-1921

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  • Organization
  • Obstetrics & Gynecology
  • CLIA Number: 36D1036913
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-29-2026

About LICKING MEMORIAL WOMENS HEALTH PATASKALA

This page provides the complete NPI Profile along with additional information for Licking Memorial Womens Health Pataskala, a women's health care provider established in Pataskala, Ohio operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1235159674 assigned on July 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Licking Memorial Womens Health Pataskala. The authorized official of this NPI record is Robert A. Montagense (Executive V.p.)

NPI
1235159674
Provider Legal Name
LICKING MEMORIAL PROFESSIONAL CORP.
Other Organization Name
LICKING MEMORIAL WOMENS HEALTH PATASKALA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 HEALTHY PL SUITE 103 PATASKALA, OH 43062
Location Phone
(740) 348-1920
Location Fax
(740) 348-1921
Mailing Address
1 HEALTHY PL SUITE 103 PATASKALA, OH 43062
Mailing Phone
(740) 348-1920
Mailing Fax
(740) 348-1921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2006
Last Update Date
08-22-2020
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Women's health care providers like Licking Memorial Womens Health Pataskala treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT A. MONTAGENSE

Authorized Official Title
EXECUTIVE V.P.
Authorized Official Phone
(740) 348-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1036913
Facility Type
Physician Office
Certificate Effective Date
July 30, 2024
Certificate Expiration Date
July 29, 2026
Laboratory Director
ERIC HOFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Licking Memorial Womens Health Pataskala to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235159674, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 2 + 5 + 1 + 8 + 6 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1235159674.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
1 HEALTHY PL, SUITE 201
PATASKALA, OH 43062
Dermatology
1 HEALTHY PL, SUITE 205
PATASKALA, OH 43062
Pediatrics
1 HEALTHY PL, STE 203
PATASKALA, OH 43062
Obstetrics & Gynecology
1 HEALTHY PL, SUITE 201
PATASKALA, OH 43062
Family Medicine
1 HEALTHY PL, SUITE 101
PATASKALA, OH 43062
Psychiatry & Neurology (Psychiatry)
1 HEALTHY PL, SUITE 105
PATASKALA, OH 43062
Psychiatry & Neurology (Psychiatry)
1 HEALTHY PL, SUITE 105
PATASKALA, OH 43062
Family Medicine
1 HEALTHY PL, SUITE 101
PATASKALA, OH 43062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235159674, enumerated as an "organization" on July 20, 2006.

The provider is located at 1 HEALTHY PL SUITE 103 PATASKALA, OH 43062 and the phone number is (740) 348-1920.

Obstetrics & Gynecology with taxonomy code 207V00000X.