Provider Type Icon

LICKING MEMORIAL PROFESSIONAL CORP. NPI 1326068768


NPI Information

NPI: 1326068768
Provider Name: LICKING MEMORIAL PROFESSIONAL CORP.

Doing Business As: LICKING MEMORIAL PULMONOLOGY

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1320 WEST MAIN STREET
NEWARK, OH
ZIP 43055
Phone: (740) 348-1805
Get Directions

LICKING MEMORIAL PROFESSIONAL CORP. is a pulmonary disease internal medicine in Newark, OH. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. LICKING MEMORIAL PROFESSIONAL CORP. NPI is 1326068768. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Pulmonology.

The provider's business location address is:

1320 WEST MAIN STREET
NEWARK, OH
ZIP 43055-822
Phone: (740) 348-1805
Fax: (740) 348-1806

The provider's authorized official is Cynthia L. Webster .
The authorized official title is Vp Financial Services and has the following contact phone number (740) 348-4027.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========-16OTHEROHIOBWC
2LI9274601MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.