LICKING MEMORIAL RHEUMATOLOGY – NPI #1740623628
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

LICKING MEMORIAL RHEUMATOLOGY is a provider located in NEWARK, OH. NPPES has assigned the NPI number 1740623628 to LICKING MEMORIAL RHEUMATOLOGY on April 10, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL RHEUMATOLOGY” 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 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

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 RHEUMATOLOGY below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORPORATION

NPI Number
1740623628
Enumeration Date

(more than 13 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 RHEUMATOLOGY
Primary location
1272 WEST MAIN STREET BLDG 2
STE 4
NEWARK, OH 43055
Phone: (740) 348-7975 Fax: (740) 348-7976
Mailing address
Same as primary location
Organization Subpart
Yes - LICKING MEMORIAL RHEUMATOLOGY is subpart of another organization.
Authorized Official
CYNTHIA WEBSTER
VP FINANCIAL SERVICE
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
207RR0500X
- Internal Medicine / Rheumatology (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.