LICKING MEMORIAL DERMATOLOGY NORTH NEWARK
NPI 1740472604
Dermatology in Newark, OH

Active since August 15, 2007
270 GOOSEPOND RD, NEWARK, OH 43055(740) 348-7945(740) 348-7946 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Licking Memorial Dermatology North Newark NPPES

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

LICKING MEMORIAL DERMATOLOGY NORTH NEWARK (NPI 1740472604) is a healthcare organization registered as a dermatology in Newark, Ohio and active in the NPI registry since August 2007. The organization lists Renee Spring-ives, Credentialing Coordnator, as its authorized official.

NPPES Registry Identity

NPI1740472604
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address270 GOOSEPOND RDNewark, OH 43055-3104
Mailing Address270 Goosepond RdNewark, OH 43055-3104 · (740) 348-7945 · Fax (740) 348-7946
Fax(740) 348-7946
Organization SubpartNo
Authorized OfficialRenee Spring-ivesCredentialing Coordnator · (740) 348-4027
Enumeration DateAugust 15, 2007
NPI 1740472604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
270 GOOSEPOND RD, Newark, OH 43055

Other Names 1

Doing Business AsLicking Memorial Dermatology North Newark

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.

Family Medicine
270 GOOSEPOND RD
NEWARK, OH 43055
Family Medicine
270 GOOSEPOND RD
NEWARK, OH 43055
Internal Medicine
270 GOOSEPOND RD
NEWARK, OH 43055
Family Medicine
270 GOOSEPOND RD
NEWARK, OH 43055

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 1740472604. It was assigned to this organization in the NPPES registry on August 15, 2007. The provider is doing business as Licking Memorial Dermatology North Newark.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 270 Goosepond Rd, Newark, OH 43055. The listed phone number is (740) 348-7945.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on August 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.