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LICKING MEMORIAL RECONSTRUCTIVE & COSMETIC SERVICES
NPI 1831381706
Surgery - Plastic and Reconstructive Surgery in Newark, OH

Active since August 15, 2007
1272 W MAIN ST, BLDG. 2, NEWARK, OH 43055(740) 348-7955(740) 348-7956 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Licking Memorial Reconstructive & Cosmetic Services NPPES

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

LICKING MEMORIAL RECONSTRUCTIVE & COSMETIC SERVICES (NPI 1831381706) is a healthcare organization registered as a plastic and reconstructive surgery in Newark, Ohio and active in the NPI registry since August 2007. The organization lists Renee Spring-ives, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1831381706
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address1272 W MAIN ST, BLDG. 2Newark, OH 43055-2004
Mailing Address1272 W Main St, Bldg. 2Newark, OH 43055-2004 · (740) 348-7955 · Fax (740) 348-7956
Phone(740) 348-7955
Fax(740) 348-7956
Organization SubpartNo
Authorized OfficialRenee Spring-ivesCredentialing Coordinator · (740) 348-4027
Enumeration DateAugust 15, 2007
✔ NPI 1831381706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1272 W MAIN ST, Newark, OH 43055
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Other Names 1

Doing Business AsLicking Memorial Reconstructive & Cosmetic Services

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 10

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

DR. CARL WAGGONER MD
Family Medicine
1272 W MAIN ST, BLDG. 5
NEWARK, OH 43055
Licking County (740) 348-1788
DR. CATHERINE CHIODO D.P.M.
Podiatrist (Foot & Ankle Surgery)
1272 W MAIN ST, BUILDING #4
NEWARK, OH 43055
Licking County (740) 345-8800
LICKING MEMORIAL PROFESSIONAL CORP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1272 W MAIN ST, BLDG 2 STE 3
NEWARK, OH 43055
Licking County (740) 348-7950
READ'S PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1272 W MAIN ST
NEWARK, OH 43055
Licking County (740) 344-7979
LICKING MEMORIAL PROFESSIONAL CORPORATION
Family Medicine
1272 W MAIN ST, BLDG. 1
NEWARK, OH 43055
Licking County (740) 348-1702
DR. LARRY PASLEY MD
Surgery
1272 W MAIN ST, BLDG. 3
NEWARK, OH 43055
Licking County (740) 348-1880
LICKING MEMORIAL PROFESSIONAL CORP.
Surgery
1272 W MAIN ST, BLDG. 3
NEWARK, OH 43055
Licking County (740) 348-1880
DR. CHRISTOPHER MATTHEW FORBUSH D.O.
Family Medicine
1272 W MAIN ST, SUITE 503
NEWARK, OH 43055
Licking County (220) 564-1778

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 1831381706. It was assigned to this organization in the NPPES registry on August 15, 2007. The provider is doing business as Licking Memorial Reconstructive & Cosmetic Services.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 1272 W Main St Bldg. 2, Newark, OH 43055. The listed phone number is (740) 348-7955.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

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 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.