LICKING MEMORIAL DERMATOLOGY – NPI #1457625758
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

LICKING MEMORIAL DERMATOLOGY is a dermatologist located in NEWARK, OH. NPPES has assigned the NPI number 1457625758 to LICKING MEMORIAL DERMATOLOGY on March 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL DERMATOLOGY” is a dba name, the actual legal business name for this organization is LICKING MEMORIAL PROFESSIONAL CORPORATION. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LICKING MEMORIAL DERMATOLOGY below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORPORATION

NPI Number
1457625758
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LICKING MEMORIAL PROFESSIONAL CORPORATION
Doing Business As (dba): LICKING MEMORIAL DERMATOLOGY
Primary location
1272 WEST MAIN STREET BLDG 2 STE. 2
NEWARK, OH 43055
Phone: (740) 348-1760 Fax: (740) 348-1761
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CYNTHIA WEBSTER
VP OF FINANCIAL SERVICES
Phone: (740) 348-4027
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.