LICKING MEMORIAL GERATRICS AT NHC
NPI 1962684084
Family Medicine - Geriatric Medicine in Newark, OH

Q: 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.

Active since November 30, 2007

75 MCMILLEN DR, NEWARK, OH 43055(740) 348-7935(740) 348-7936 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Licking Memorial Geratrics At Nhc NPPES

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

LICKING MEMORIAL GERATRICS AT NHC (NPI 1962684084) 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

NPI1962684084

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameLICKING MEMORIAL PROFESSIONAL CORPORATION

Location Address75 MCMILLEN DRNewark, OH 43055-1808

Mailing Address75 Mcmillen DrNewark, OH 43055-1808 · (740) 348-7935 · Fax (740) 348-7936

Phone(740) 348-7935

Fax(740) 348-7936

Organization SubpartNo

Authorized OfficialThomas N. PoulsonCfo · (740) 348-4110

Enumeration DateNovember 30, 2007

✔ NPI 1962684084 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.

75 MCMILLEN DR, Newark, OH 43055

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Other Names 1

Doing Business AsLicking Memorial Geratrics At Nhc

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 16

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

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