LICKING MEMORIAL UROLOGY – NPI #1508086554
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

LICKING MEMORIAL UROLOGY is an urologist located in NEWARK, OH. NPPES has assigned the NPI number 1508086554 to LICKING MEMORIAL UROLOGY on May 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LICKING MEMORIAL UROLOGY” 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 15 years ago on Aug 03, 2011. 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 UROLOGY below.

NPI Profile for
LICKING MEMORIAL PROFESSIONAL CORPORATION

NPI Number
1508086554
Enumeration Date

(more than 19 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 UROLOGY
Primary location
1272 WEST MAIN STREET
BLDG 4
NEWARK, OH 43055-2004
Phone: (740) 348-1750 Fax: (740) 348-1751
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
208800000X
- Urology (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.