LICKING MEMORIAL WOMEN'S HEALTH – NPI #1174541924
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

LICKING MEMORIAL WOMEN'S HEALTH is a provider located in NEWARK, OH. NPPES has assigned the NPI number 1174541924 to LICKING MEMORIAL WOMEN'S HEALTH on July 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL WOMEN'S HEALTH” 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 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

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 WOMEN'S HEALTH below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORP.

NPI Number
1174541924
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 WOMEN'S HEALTH
Primary location
15 MESSIMER DR
NEWARK, OH 43055-1841
Phone: (740) 348-4694 Fax: (740) 348-1978
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MONTAGNESE
EXECUTIVE VP
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
207V00000X
- Obstetrics & Gynecology (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.