LICKING MEMORIAL ENDOCRINOLOGY – NPI #1073822938
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

LICKING MEMORIAL ENDOCRINOLOGY is a provider located in NEWARK, OH. NPPES has assigned the NPI number 1073822938 to LICKING MEMORIAL ENDOCRINOLOGY on September 27, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL ENDOCRINOLOGY” 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 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 14 years ago on Jul 31, 2012. 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 ENDOCRINOLOGY below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORP

NPI Number
1073822938
Enumeration Date

(more than 15 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 ENDOCRINOLOGY
Primary location
1272 W MAIN ST
BLDG 2 STE 3
NEWARK, OH 43055-2004
Phone: (740) 348-7950 Fax: (740) 348-7951
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CYNTHIA WEBSTER
VP OF FINANCIAL SERVICES
Phone: (740) 348-4518
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (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.