LICKING MEMORIAL PROFESSIONAL CORP. (NPI# 1487688545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487688545 |
| Entity Type | Organization |
| Organization Name | LICKING MEMORIAL PROFESSIONAL CORP. |
| Other Organization Name | LICKING MEMORIAL FAMILY PRACTICE HEATH |
| Practice Address |
687 Hopewell Dr Suite2 Heath OH 43056-1579 |
| Practice Telephone | 7403487915 |
| Practice Fax Number | 7403487916 |
| Mailing Telephone | 7403487915 |
| Mailing Fax Number | 7403487916 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT A. MONTAGNESE (EXECUTIVE V.P.) |
| Authorized Official Telephone | 7403484000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Licking Memorial Family Practice Heath | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
| 1497771521 | Licking Memorial Professional Corp. | Pediatrics | 240 N. Main St, Utica, OH 43080 | 2006-07-14 |
| 1689690661 | Licking Memorial Professional Corp. | Family Medicine | 96 Integrity Drive, H., Hebron, OH 43025 | 2006-07-14 |
| 1598945818 | Licking Memorial Professional Corp. | Family Medicine | 717 S 30th St, Newark, OH 43056-1244 | 2007-11-05 |
| 1669547824 | Licking Memorial Professional Corp. | Pediatrics | 399 E Main St, Newark, OH 43055-6516 | 2006-11-22 |
| 1154496503 | Licking Memorial Professional Corp. | General Practice | 2000 Tamarack Rd, Newark, OH 43055 | 2006-11-21 |
| 1295809614 | Licking Memorial Professional Corp. | Psychiatry & Neurology | 1 Healthy Pl, Suite 105, Pataskala, OH 43062-7067 | 2006-11-17 |
| 1649290073 | Licking Memorial Professional Corp. | Internal Medicine | 120 Mcmillen Dr, Newark, OH 43055-1809 | 2006-07-20 |
| 1326068768 | Licking Memorial Professional Corp. | Internal Medicine | 1320 West Main Street, Newark, OH 43055-1822 | 2006-07-20 |
| 1235159674 | Licking Memorial Professional Corp. | Obstetrics & Gynecology | 1 Healthy Pl, Suite 103, Pataskala, OH 43062-7067 | 2006-07-20 |
| Street Address |
687 HOPEWELL DR SUITE2 |
| City | HEATH |
| State | OH |
| Zip Code | 43056-1579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447648910 | Chromocare Limited | Clinical Medical Laboratory | 785 Irving Wick Dr W, Heath, OH 43056 | 2015-01-06 |
| 1003228990 | Melissa Rae Trego | Registered Nurse | 460 South 30 Street, Heath, OH 43056 | 2014-05-27 |
| 1922247139 | Cassie Wimeland-keener | Occupational Therapy Assistant | 667 Hopwell Drive, Heathq, OH 43056 | 2009-02-11 |
| 1033237755 | Chiropractic and Physical Therapy | Chiropractor | 844 N. 30 Street, Heath, OH 43056 | 2007-03-27 |
| 1588631808 | David A Bartnick | Family Medicine | 687 Hopewell Drive, Bldg. 2, Heath, OH 43056 | 2006-03-06 |
| 1326646126 | Center for Disability Services | Day Training, Developmentally Disabled Services | 667 Hopewell Drive, Heath, OH 43056 | 2020-10-14 |
| 1851896419 | The Laurels of Heath, LLC | Skilled Nursing Facility | 717 S 30th St, Heath, OH 43056 | 2018-03-27 |
| 1972810356 | Brittany Moore | Occupational Therapy Assistant | 667 Hopewell Drive, Heath, OH 43056 | 2010-09-08 |
| 1659510980 | Cindy Miller | Occupational Therapy Assistant | 667 Hopewell Drive, Heath, OH 43056 | 2009-02-10 |
| 1962648915 | Robin Shaner | Occupational Therapy Assistant | 667 Hopewell Drive, Heath, OH 43056 | 2008-12-22 |
| Find all providers in zip 43056 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346493285 | V. John Gonino D.o, P.a. | Family Medicine | 6720 Horizon, Heath, TX 75032-6273 | 2008-10-23 |
| 1588631808 | David A Bartnick | Family Medicine | 687 Hopewell Drive, Bldg. 2, Heath, OH 43056 | 2006-03-06 |
| 1538164116 | Healthtexas Provider Network | Family Medicine | 6435 S Fm 549, Ste 201, Heath, TX 75032-6221 | 2005-06-20 |
| 1932117652 | Vincent John Gonino | Family Medicine | 6720 Horizon Rd, Heath, TX 75032-6273 | 2006-08-05 |
| 1457373714 | John M Wiprud | Family Medicine | 6435 S Fm 549, Suite 201, Heath, TX 75032-6220 | 2006-07-24 |
| 1982626461 | Jeffry F Adcock | Family Medicine | 6435 S Fm 549, Suite 201, Heath, TX 75032-6220 | 2006-07-24 |
| 1114976453 | David B. Lensch | Family Medicine | 6435 S Fm 549, Suite 201, Heath, TX 75032-6220 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.