LICKING MEMORIAL GERIATRIC MEDICINE AT HNC
NPI 1598945818
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 1598945818. It was assigned to this organization in the NPPES registry on November 5, 2007. The provider is doing business as Licking Memorial Geriatric Medicine At Hnc.

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 05, 2007

717 S 30TH ST, NEWARK, OH 43056(740) 348-7935(740) 348-7936 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Licking Memorial Geriatric Medicine At Hnc NPPES

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

LICKING MEMORIAL GERIATRIC MEDICINE AT HNC (NPI 1598945818) 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

NPI1598945818

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP.

Location Address717 S 30TH STNewark, OH 43056-1244

Mailing Address717 S 30th StNewark, OH 43056-1244 · (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 5, 2007

✔ NPI 1598945818 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.

717 S 30TH ST, Newark, OH 43056

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Other Names 1

Doing Business AsLicking Memorial Geriatric Medicine At Hnc

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 9

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

MR. ANDREW EVAN MITCHELL II PA-C

Physician Assistant

717 S 30TH ST
HEATH, OH 43056

Licking County (740) 522-1171

JACK MUSIC PT, DPT

Physical Therapist

717 S 30TH ST
HEATH, OH 43056

Licking County (740) 522-1171

AMANDA BARRETT CNP

Nurse Practitioner (Primary Care)

717 S 30TH ST
HEATH, OH 43056

Licking County (614) 330-0196

RECIA MICKENS-LOPEZ APRN-CNP

Nurse Practitioner (Gerontology)

717 S 30TH ST
HEATH, OH 43056

Licking County (248) 470-3247

ETA BEA MUSONGE NP

Nurse Practitioner (Family)

717 S 30TH ST
HEATH, OH 43056

Licking County (740) 522-1171

HEATH HEALTH & REHAB CENTER, LLC

Skilled Nursing Facility

717 S 30TH ST
HEATH, OH 43056

Licking County (740) 522-1171

CHS - HEATH, INC

Skilled Nursing Facility

717 S 30TH ST
HEATH, OH 43056

Licking County (740) 522-1171

THE LAURELS OF HEATH, LLC

Skilled Nursing Facility

717 S 30TH ST
HEATH, OH 43056

Licking County (740) 522-1171

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 1598945818. It was assigned to this organization in the NPPES registry on November 5, 2007. The provider is doing business as Licking Memorial Geriatric Medicine At Hnc.

Where is Licking Memorial Professional Corp. located?

Licking Memorial Professional Corp. is located at 717 S 30th St, Newark, OH 43056. The listed phone number is (740) 348-7935.

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.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corp. was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.