LICKING MEMORIAL UROLOGY
NPI 1508086554
Urology in Newark, OH

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 01, 2007

1272 WEST MAIN STREET, BLDG 4, NEWARK, OH 43055(740) 348-1750(740) 348-1751 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Licking Memorial Urology NPPES

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

LICKING MEMORIAL UROLOGY (NPI 1508086554) is a healthcare organization registered as an urology in Newark, Ohio and active in the NPI registry since May 2007. The organization lists Cynthia L. Webster, Vp Of Financial Services, as its authorized official.

NPPES Registry Identity

NPI1508086554

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION

Location Address1272 WEST MAIN STREET, BLDG 4Newark, OH 43055-2004

Mailing Address1272 West Main Street, Bldg 4Newark, OH 43055-2004 · (740) 348-1750 · Fax (740) 348-1751

Phone(740) 348-1750

Fax(740) 348-1751

Organization SubpartNo

Authorized OfficialCynthia L. WebsterVp Of Financial Services · (740) 348-4518

Enumeration DateMay 1, 2007

Last NPPES UpdateAugust 3, 2011

✔ NPI 1508086554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1272 WEST MAIN STREET, Newark, OH 43055

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Other Names 1

Doing Business AsLicking Memorial Urology

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 4

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

DR. MARCO MAURO DE SANTIS D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1272 WEST MAIN STREET, SUITE 204
NEWARK, OH 43055

Licking County (220) 564-1740

AHMED F. KANDEEL M.D.

Surgery

1272 WEST MAIN STREET, SUITE 302
NEWARK, OH 43055

Licking County (220) 564-1880

LICKING MEMORIAL PROFESSIONAL CORPORATION

Psychiatry & Neurology (Neurology)

1272 WEST MAIN STREET, BLDG 2
NEWARK, OH 43055

Licking County (740) 348-7985

LICKING MEMORIAL HOSPITAL

Pharmacy (Community/Retail Pharmacy)

1272 WEST MAIN STREET, SUITE 401
NEWARK, OH 43055

Licking County (220) 564-4544

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 1508086554. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Licking Memorial Urology.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 1272 West Main Street Bldg 4, Newark, OH 43055. The listed phone number is (740) 348-1750.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.