LICKING MEMORIAL INTERNAL MEDICINE
NPI 1730109166
Internal Medicine in Newark, OH

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

The NPI number for Licking Memorial Professional Corp is 1730109166. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Licking Memorial Internal Medicine.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 20, 2006

120 MCMILLEN DR, NEWARK, OH 43055(740) 348-4800(740) 348-4801 Get Directions Write a Review

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

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About Licking Memorial Internal Medicine NPPES

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

LICKING MEMORIAL INTERNAL MEDICINE (NPI 1730109166) is a healthcare organization registered as an internal medicine in Newark, Ohio and active in the NPI registry since July 2006. The organization lists Robert A. Montagnese, Executive V.p, as its authorized official.

NPPES Registry Identity

NPI1730109166

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP

Location Address120 MCMILLEN DRNewark, OH 43055-1809

Mailing Address120 Mcmillen DrNewark, OH 43055-1809 · (740) 348-4800 · Fax (740) 348-4801

Phone(740) 348-4800

Fax(740) 348-4801

Organization SubpartNo

Authorized OfficialRobert A. MontagneseExecutive V.p · (740) 348-4000

Enumeration DateJuly 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1730109166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

120 MCMILLEN DR, Newark, OH 43055

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Other Names 1

Doing Business AsLicking Memorial Internal Medicine

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.

MISTI D. STAGGERS CNP

Clinical Nurse Specialist (Gerontology)