LICKING MEMORIAL HEALTH PROFESSIONALS
NPI 1326072265
Family Medicine in Newark, OH

Active since July 10, 2006CLIA Certified · 2 labs
1320 W MAIN ST, NEWARK, OH 43055(220) 564-4027(220) 564-4012 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Feb 20, 2025 (2 updates tracked since 2025).

About Licking Memorial Health Professionals NPPES

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

LICKING MEMORIAL HEALTH PROFESSIONALS (NPI 1326072265) is a healthcare organization registered as a family medicine in Newark, Ohio and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Cynthia L. Webster, Vp Financial Service, as its authorized official.

NPPES Registry Identity

NPI1326072265
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLICKING MEMORIAL HEALTH PROFESSIONALS
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (220) 564-4027 · Fax (220) 564-4012
Fax(220) 564-4012
Organization SubpartNo
Authorized OfficialCynthia L. WebsterVp Financial Service · (220) 564-4027
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1326072265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedHospitalistTaxonomy 208M00000X
1320 W MAIN ST, Newark, OH 43055

Other Identifiers 1

Medicaid2144629OH

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Licking Memorial Health Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

278

Medicare enrollment records show 278 clinicians reassign Medicare billing to Licking Memorial Health Professionals, which bills Medicare for the services they deliver. Of these, 63 practice at this address and 164 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Nurse Practitioner34
Certified Registered Nurse Anesthetist (CRNA)33
Emergency Medicine31
Family Practice24
Hospitalist17
Obstetrics/Gynecology17
Internal Medicine13
Anesthesiology12
26 other specialties97

Nearest to this location (20)

See all 278
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912521451
1320 W MAIN ST
Newark, OH 43055
(220) 564-4218
✔ Accepts MedicareSame address
Emergency Medicine
NPI 1780622563
1320 W MAIN ST
Newark, OH 43055
(220) 564-4151
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1629076898
1320 W MAIN ST
Newark, OH 43055
(220) 564-4151
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1962293357
1320 W MAIN ST
Newark, OH 43055
(220) 564-4000
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730460528
1320 W MAIN ST
Newark, OH 43055
(220) 564-7750
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1003023771
1320 W MAIN ST
Newark, OH 43055
(220) 564-4151
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427323682
1320 W MAIN ST
Newark, OH 43055
(220) 564-4226
✔ Accepts MedicareSame address
Pathology
NPI 1932303898
1320 W MAIN ST
Newark, OH 43055
(220) 564-4266
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1053391375
1320 W MAIN ST
Newark, OH 43055
(220) 564-4201
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1922007111
1320 W MAIN ST
Newark, OH 43055
(220) 564-1792
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1104847144
1320 W MAIN ST
Newark, OH 43055
(220) 564-1791
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1104196591
1320 W. MAIN ST
Newark, OH 43055
(220) 564-1791
✔ PECOSSame address
Nurse Practitioner
NPI 1851860589
1320 W MAIN ST
Newark, OH 43055
(220) 564-4151
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1821250895
1320 W MAIN ST
Newark, OH 43055
(220) 564-4218
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1740460161
1320 W MAIN ST
Newark, OH 43055
(220) 564-1791
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1689075632
1320 W MAIN ST
Newark, OH 43055
(220) 564-7750
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1720303662
1320 W MAIN ST
Newark, OH 43055
(220) 564-4218
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215197165
1320 W MAIN ST
Newark, OH 43055
(220) 564-1791
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1679787386
1320 W MAIN ST
Newark, OH 43055
(220) 564-7750
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1770844466
1320 W MAIN ST
Newark, OH 43055
(220) 564-4677
✔ PECOSSame address
See all 278 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2309790

Licking Memorial Health Professionals Cardiac Electrophysiology · Newark, OH
Active · expires Aug 20, 2028
CLIA Number36D2309790
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorJohn Keller
Laboratory Phone(220) 564-4150
Laboratory LocationLicking Memorial Health Professionals Cardiac Electrophysiology1906 Tamarack Road, Newark, OH 43055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1050634

Licking Memorial Health Professionals Outpatient Psychiatric Services · Newark, OH
Active · expires Feb 7, 2028
CLIA Number36D1050634
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorElizabeth A. Yoder
Laboratory Phone(740) 348-4870
Laboratory LocationLicking Memorial Health Professionals Outpatient Psychiatric Services200 Messimer Drive, Newark, OH 43055
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Health Professionals's NPI number?

The NPI number for Licking Memorial Health Professionals is 1326072265. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Licking Memorial Health Professionals located?

Licking Memorial Health Professionals is located at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-4027.

What is Licking Memorial Health Professionals's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Licking Memorial Health Professionals enrolled in Medicare?

Yes. Licking Memorial Health Professionals is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Licking Memorial Health Professionals?

According to the CMS Revalidation Reassignment List (October 2026 release), 278 clinicians in 34 Medicare specialties reassign their Medicare billing to Licking Memorial Health Professionals. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (34), Certified Registered Nurse Anesthetist (CRNA) (33) and Emergency Medicine (31). Of these, 63 practice at this address and 164 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Licking Memorial Health Professionals hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Licking Memorial Health Professionals accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Licking Memorial Health Professionals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Licking Memorial Health Professionals was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.