Licking Memorial Otolaryngology – Otolaryngology Physician, NPI 1083646442

Licking Memorial Otolaryngology is a healthcare provider. based in Newark, Ohio. specializing in Otolaryngology Physician. The NPI Number for Licking Memorial Otolaryngology is 1083646442

Main info

Organization
Name
Licking Memorial Otolaryngology
NPI
1083646442
Phone
(740) 348-4270
Address
88 MCMILLEN DR
Authorized Official
MR. ROBERT A. MONTAGENSE EXECUTIVE VICE PRESIDENT
Enumeration Date
7 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Licking Memorial Otolaryngology

  • 88, McMillen Drive, Newark, Licking County, Ohio, 43055, United States

    NEWARK, OH 430555814

    Phone: (740) 348-4270

    Fax: (740) 348-4272

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43055)

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Reviews

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Frequently asked questions

What number should I use to identify Licking Memorial Otolaryngology for billing?
Administrative and clinical systems typically use NPI 1083646442 for Licking Memorial Otolaryngology.
Does the public listing show Licking Memorial Otolaryngology as active?
Licking Memorial Otolaryngology's NPI record reflects an active status in NPPES.
What services align with Licking Memorial Otolaryngology's listing?
Licking Memorial Otolaryngology's public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Licking Memorial Otolaryngology?
Licking Memorial Otolaryngology is associated with Newark, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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