LICKING MEMORIAL ANESTHESIOLOGY
NPI 1376585430
Anesthesiology in Newark, OH
About Licking Memorial Anesthesiology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LICKING MEMORIAL ANESTHESIOLOGY (NPI 1376585430) is a healthcare organization registered as an anesthesiology in Newark, Ohio and active in the NPI registry since June 2006. The organization lists Robert A. Montagnese, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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 Anesthesiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
278Medicare enrollment records show 278 clinicians reassign Medicare billing to Licking Memorial Anesthesiology, 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
Nearest to this location (20)
See all 278Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Corporation's NPI number?
The NPI number for Licking Memorial Professional Corporation is 1376585430. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Licking Memorial Anesthesiology.
Where is Licking Memorial Professional Corporation located?
Licking Memorial Professional Corporation is located at 1320 W Main St, Newark, OH 43055. The listed phone number is (740) 348-4226.
What is Licking Memorial Professional Corporation's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Licking Memorial Professional Corporation enrolled in Medicare?
Yes. Licking Memorial Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Licking Memorial Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 278 clinicians in 34 Medicare specialties reassign their Medicare billing to Licking Memorial Professional Corporation. 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.
When was this NPI record last updated?
The NPPES record for Licking Memorial Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Licking Memorial Anesthesiology · NPI 1376585430
Anesthesiology organization in Newark, Ohio. Organization record, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1376585430 (Entity type: Organization)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Legal business name:** Licking Memorial Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Robert Montagnese, EXECUTIVE VICE PRESIDENT
## Practice location
- **Address:** 1320 W MAIN ST, Newark, OH 43055-1822
- **Phone:** (740) 348-4226 · **Fax:** (740) 348-4219
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 278 clinicians in 34 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (34), Certified Registered Nurse Anesthetist (CRNA) (33), Emergency Medicine (31); 63 practice at this address and 164 within 10 miles; [full list](https://npiprofile.com/npi/1376585430/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 2139920 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1376585430) · Data from the CMS NPPES public registry.