LICKING MEMORIAL SURGICAL SERVICES
NPI 1366461386
Surgery in Newark, OH

Active since July 19, 2006
1272 W MAIN ST, BLDG. 3, NEWARK, OH 43055(740) 348-1880(740) 348-1881 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 Surgical Services NPPES

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

LICKING MEMORIAL SURGICAL SERVICES (NPI 1366461386) is a healthcare organization registered as a surgery in Newark, Ohio and active in the NPI registry since July 2006. The organization lists Robert A. Montagnese, Executive V.p., as its authorized official.

NPPES Registry Identity

NPI1366461386
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP.
Location Address1272 W MAIN ST, BLDG. 3Newark, OH 43055-2004
Mailing Address1272 W Main St, Bldg. 3Newark, OH 43055-2004 · (740) 348-1880 · Fax (740) 348-1881
Fax(740) 348-1881
Organization SubpartNo
Authorized OfficialRobert A. MontagneseExecutive V.p. · (740) 348-4000
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1366461386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1272 W MAIN ST, Newark, OH 43055

Other Names 1

Doing Business AsLicking Memorial Surgical Services

Other Identifiers 1

Medicaid2483610OH

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 10

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

Family Medicine
1272 W MAIN ST, BLDG. 5
NEWARK, OH 43055
Podiatrist (Foot & Ankle Surgery)
1272 W MAIN ST, BUILDING #4
NEWARK, OH 43055
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1272 W MAIN ST, BLDG 2 STE 3
NEWARK, OH 43055
Pharmacy (Community/Retail Pharmacy)
1272 W MAIN ST
NEWARK, OH 43055
Family Medicine
1272 W MAIN ST, BLDG. 1
NEWARK, OH 43055
Surgery
1272 W MAIN ST, BLDG. 3
NEWARK, OH 43055
Family Medicine
1272 W MAIN ST, SUITE 503
NEWARK, OH 43055
Surgery (Plastic and Reconstructive Surgery)
1272 W MAIN ST, BLDG. 2
NEWARK, OH 43055

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 1366461386. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Licking Memorial Surgical Services.

Where is Licking Memorial Professional Corp. located?

Licking Memorial Professional Corp. is located at 1272 W Main St Bldg. 3, Newark, OH 43055. The listed phone number is (740) 348-1880.

What is Licking Memorial Professional Corp.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corp. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.