1. Home
  2. Directory
  3. Ohio
  4. Newark
  5. Pediatrics
  6. NPI Profile

LICKING MEMORIAL PEDIATRICS EAST
NPI 1669547824
Pediatrics in Newark, OH

Active since November 22, 2006
399 E MAIN ST, NEWARK, OH 43055(740) 348-1840(740) 348-1841 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Licking Memorial Pediatrics East NPPES

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

LICKING MEMORIAL PEDIATRICS EAST (NPI 1669547824) is a healthcare organization registered as a pediatrics in Newark, Ohio and active in the NPI registry since November 2006. The organization lists Robert A. Montagnese, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669547824
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP.
Location Address399 E MAIN STNewark, OH 43055-6516
Mailing Address399 E Main StNewark, OH 43055-6516 · (740) 348-1840 · Fax (740) 348-1841
Phone(740) 348-1840
Fax(740) 348-1841
Organization SubpartNo
Authorized OfficialRobert A. MontagneseCredentialing Coordinator · (740) 348-4027
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669547824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

399 E MAIN ST, Newark, OH 43055
Open in Google Maps ↗

Other Names 1

Doing Business AsLicking Memorial Pediatrics East

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 7

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

DR. DIANE LEMAY MD
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Licking County (740) 348-1840
LICKING MEMORIAL PROFESSIONAL CORP
Family Medicine
399 E MAIN ST
NEWARK, OH 43055
Licking County (740) 348-1849
KATRINA M TIMSON MD
Family Medicine
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1846
CATHERINE R WOHLFORD CNP
Nurse Practitioner (Pediatrics)
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1840
PRIYANSHI PATEL MD
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1840
AMANDA LEIGH DAY APRN
Nurse Practitioner (Pediatrics)
399 E MAIN ST
NEWARK, OH 43055
Licking County (220) 564-1840
ERIKA FORGRAVE
Speech-Language Pathologist
399 E MAIN ST
NEWARK, OH 43055
Licking County (614) 355-9779

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 1669547824. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Licking Memorial Pediatrics East.

Where is Licking Memorial Professional Corp. located?

Licking Memorial Professional Corp. is located at 399 E Main St, Newark, OH 43055. The listed phone number is (740) 348-1840.

What is Licking Memorial Professional Corp.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corp. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.