LICKING MEMORIAL DERMATOLOGY
NPI 1457625758
Dermatology in Newark, OH

Active since March 05, 2012
1272 WEST MAIN STREET BLDG 2 STE. 2, NEWARK, OH 43055(740) 348-1760(740) 348-1761 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Licking Memorial Dermatology NPPES

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

LICKING MEMORIAL DERMATOLOGY (NPI 1457625758) is a healthcare organization registered as a dermatology in Newark, Ohio and active in the NPI registry since March 2012. The organization lists Cynthia L. Webster, Vp Of Financial Services, as its authorized official.

NPPES Registry Identity

NPI1457625758
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address1272 WEST MAIN STREET BLDG 2 STE. 2Newark, OH 43055
Mailing Address1272 West Main Street Bldg 2 Ste. 2Newark, OH 43055 · (740) 348-1760 · Fax (740) 348-1761
Fax(740) 348-1761
Organization SubpartNo
Authorized OfficialCynthia L. WebsterVp Of Financial Services · (740) 348-4027
Enumeration DateMarch 5, 2012
NPI 1457625758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1272 WEST MAIN STREET BLDG 2 STE. 2, Newark, OH 43055

Other Names 1

Doing Business AsLicking Memorial Dermatology

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

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 1457625758. It was assigned to this organization in the NPPES registry on March 5, 2012. The provider is doing business as Licking Memorial Dermatology.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 1272 West Main Street Bldg 2 Ste. 2, Newark, OH 43055. The listed phone number is (740) 348-1760.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.