LICKING MEMORIAL OCCUPATIONAL MEDICINE – NPI #1891715223
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

LICKING MEMORIAL OCCUPATIONAL MEDICINE is a provider located in NEWARK, OH. NPPES has assigned the NPI number 1891715223 to LICKING MEMORIAL OCCUPATIONAL MEDICINE on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL OCCUPATIONAL MEDICINE” 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 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

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 OCCUPATIONAL MEDICINE below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORP.

NPI Number
1891715223
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 OCCUPATIONAL MEDICINE
Primary location
1865 TAMARACK RD
NEWARK, OH 43055-2305
Phone: (740) 348-4972 Fax: (740) 348-4991
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MONTAGENSE
EXECUTIVE V.P.
Phone: (740) 348-4000
Updated
Identifiers

Identifiers for LICKING MEMORIAL OCCUPATIONAL MEDICINE

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
MEDICAIDOH2354134
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
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (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.