LICKING MEMORIAL GERIATRIC MEDICINE AT FLINT RIDGE
NPI 1497937510
Family Medicine - Geriatric Medicine in Newark, OH

Q: What is Licking Memorial Professional Corp's NPI number?

The NPI number for Licking Memorial Professional Corp is 1497937510. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is doing business as Licking Memorial Geriatric Medicine At Flint Ridge.

Q: What is Licking Memorial Professional Corp's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since November 30, 2007

1450 W MAIN ST, NEWARK, OH 43055(740) 348-7935(740) 348-7936 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Licking Memorial Geriatric Medicine At Flint Ridge NPPES

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

LICKING MEMORIAL GERIATRIC MEDICINE AT FLINT RIDGE (NPI 1497937510) is a healthcare organization registered as a geriatric medicine in Newark, Ohio and active in the NPI registry since November 2007. The organization lists Thomas N. Poulson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1497937510

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP

Location Address1450 W MAIN STNewark, OH 43055-1825

Mailing Address1450 W Main StNewark, OH 43055-1825 · (740) 348-7935 · Fax (740) 348-7936

Phone(740) 348-7935

Fax(740) 348-7936

Organization SubpartNo

Authorized OfficialThomas N. PoulsonCfo · (740) 348-4110

Enumeration DateNovember 30, 2007

✔ NPI 1497937510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

1450 W MAIN ST, Newark, OH 43055

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Other Names 1

Doing Business AsLicking Memorial Geriatric Medicine At Flint Ridge

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 5

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

MRS. CYNTHIA LYNN LOWERY PT

Physical Therapist