LICKING MEMORIAL OCCUPATIONAL MEDICINE
NPI 1891715223
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Newark, OH

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

The NPI number for Licking Memorial Professional Corp. is 1891715223. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Licking Memorial Occupational Medicine.

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

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Active since July 20, 2006

1865 TAMARACK RD, NEWARK, OH 43055(740) 348-4972(740) 348-4991 Get Directions Write a Review

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

On this page

About Licking Memorial Occupational Medicine NPPES

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

LICKING MEMORIAL OCCUPATIONAL MEDICINE (NPI 1891715223) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Newark, Ohio and active in the NPI registry since July 2006. The organization lists Robert A. Montagense, Executive V.p., as its authorized official.

NPPES Registry Identity

NPI1891715223

Entity TypeOrganization

Primary Taxonomy2083P0500X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORP.

Location Address1865 TAMARACK RDNewark, OH 43055-2305

Mailing Address1865 Tamarack RdNewark, OH 43055-2305 · (740) 348-4972 · Fax (740) 348-4991

Phone(740) 348-4972

Fax(740) 348-4991

Organization SubpartNo

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

Enumeration DateJuly 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1891715223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0500X

Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

1865 TAMARACK RD, Newark, OH 43055

Open in Google Maps ↗

Other Names 1

Doing Business AsLicking Memorial Occupational Medicine

Other Identifiers 1

Medicaid2354134OH

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 14

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

JENNIFER HARTMAN RDN

Dietitian, Registered