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LICKING MEMORIAL CARDIOLOGY
NPI 1710052170
Internal Medicine - Cardiovascular Disease in Newark, OH

Active since November 21, 2006
1320 W MAIN ST, NEWARK, OH 43055(740) 348-4133(740) 348-4181 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Licking Memorial Cardiology NPPES

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

LICKING MEMORIAL CARDIOLOGY (NPI 1710052170) is a healthcare organization registered as a cardiovascular disease in Newark, Ohio and active in the NPI registry since November 2006. The organization lists Robert A. Montagnese, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1710052170
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (740) 348-4133 · Fax (740) 348-4181
Phone(740) 348-4133
Fax(740) 348-4181
Organization SubpartNo
Authorized OfficialRobert A. MontagneseExecutive Vice President · (740) 348-4000
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710052170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1320 W MAIN ST, Newark, OH 43055
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Other Names 1

Doing Business AsLicking Memorial Cardiology

Other Identifiers 1

Medicaid2613863OH

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 20

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

DR. MATTHEW CRAIG BROMLEY D.O.
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4151
DR. PAUL GASTON DEL VALLE M.D.
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 348-4318
DR. THOM WOOD
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 348-4144
JANINE C. SHIPLEY R.PH
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4195
DR. HARRISON FAITH OLEXO PHARMD, RPH
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (704) 898-1620
MEGHAN ELIZABETH SCHULZE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (740) 817-0344
DR. ROBERT STEPHEN COOKE M.D.
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4201
ANDREA SIMS APRN
Nurse Practitioner (Neonatal)
1320 W MAIN ST
NEWARK, OH 43055
Licking County (220) 564-4000

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 1710052170. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Licking Memorial Cardiology.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 1320 W Main St, Newark, OH 43055. The listed phone number is (740) 348-4133.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.