LICKING MEMORIAL PEDIATRICS-UTICA – NPI #1497771521
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

LICKING MEMORIAL PEDIATRICS-UTICA is a provider located in UTICA, OH. NPPES has assigned the NPI number 1497771521 to LICKING MEMORIAL PEDIATRICS-UTICA on July 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL PEDIATRICS-UTICA” 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 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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 PEDIATRICS-UTICA below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORP.

NPI Number
1497771521
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 PEDIATRICS-UTICA
Primary location
240 N. MAIN ST
UTICA, OH 43080
Phone: (740) 348-1740 Fax: (740) 348-1741
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MONTAGNESE
EXECUTIVE V.P.
Phone: (740) 348-4000
Updated
Identifiers

Identifiers for LICKING MEMORIAL PEDIATRICS-UTICA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2143906
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
208000000X
- Pediatrics (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.