LICKING MEMORIAL FAMILY PRACTICE PATASKALA – NPI #1851325526
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LICKING MEMORIAL FAMILY PRACTICE PATASKALA is a provider located in PATASKALA, OH. NPPES has assigned the NPI number 1851325526 to LICKING MEMORIAL FAMILY PRACTICE PATASKALA on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL FAMILY PRACTICE PATASKALA” is a dba name, the actual legal business name for this organization is LICKING MEMORIAL PROFESSIONAL CORP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 FAMILY PRACTICE PATASKALA below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORP

NPI Number
1851325526
Enumeration Date

(about 20 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 CORP
Doing Business As (dba): LICKING MEMORIAL FAMILY PRACTICE PATASKALA
Primary location
1 HEALTHY PL
SUITE 101
PATASKALA, OH 43062-7067
Phone: (740) 348-1900 Fax: (740) 348-1901
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MONTAGNESE
EXECUTIVE V.P.
Phone: (740) 348-4000
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
207Q00000X
- Family Medicine (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.