LICKING MEMORIAL GERIATRIC MEDICINE AT LPN
NPI 1952581274
Family Medicine - Geriatric Medicine in Newark, OH

Active since November 05, 2007
151 PRICE RD, NEWARK, OH 43055(740) 348-7935(740) 348-7936 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Licking Memorial Geriatric Medicine At Lpn NPPES

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

LICKING MEMORIAL GERIATRIC MEDICINE AT LPN (NPI 1952581274) is a healthcare organization registered as a geriatric medicine in Newark, Ohio and active in the NPI registry since November 2007. The organization lists Thomas N. Poulson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952581274
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION
Location Address151 PRICE RDNewark, OH 43055-3317
Mailing Address151 Price RdNewark, OH 43055-3317 · (740) 348-7935 · Fax (740) 348-7936
Fax(740) 348-7936
Organization SubpartNo
Authorized OfficialThomas N. PoulsonCfo · (740) 348-4110
Enumeration DateNovember 5, 2007
✔ NPI 1952581274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
151 PRICE RD, Newark, OH 43055

Other Names 1

Doing Business AsLicking Memorial Geriatric Medicine At Lpn

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 5

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

Skilled Nursing Facility
151 PRICE RD
NEWARK, OH 43055
Skilled Nursing Facility
151 PRICE RD
NEWARK, OH 43055
Skilled Nursing Facility
151 PRICE RD
NEWARK, OH 43055
Skilled Nursing Facility
151 PRICE RD
NEWARK, OH 43055
Social Worker
151 PRICE 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 1952581274. It was assigned to this organization in the NPPES registry on November 5, 2007. The provider is doing business as Licking Memorial Geriatric Medicine At Lpn.

Where is Licking Memorial Professional Corporation located?

Licking Memorial Professional Corporation is located at 151 Price Rd, Newark, OH 43055. The listed phone number is (740) 348-7935.

What is Licking Memorial Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Licking Memorial Professional Corporation was last updated on November 5, 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.