LICKING MEMORIAL HEART CENTER – NPI #1972702512
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

LICKING MEMORIAL HEART CENTER is a provider located in NEWARK, OH. NPPES has assigned the NPI number 1972702512 to LICKING MEMORIAL HEART CENTER on July 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL HEART CENTER” 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 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 16 years ago on Nov 12, 2010. 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 HEART CENTER below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORP

NPI Number
1972702512
Enumeration Date

(about 19 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 HEART CENTER
Primary location
1320 WEST MAIN STREET
NEWARK, OH 43055-1822
Phone: (740) 348-7750 Fax: (740) 348-7751
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CYNTHIA WEBSTER
VP 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
207RC0000X
- Internal Medicine / Cardiovascular Disease (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.