Licking Memorial Surgical Services – Surgery Physician, NPI 1366461386

Licking Memorial Surgical Services is a healthcare provider. based in Newark, Ohio. specializing in Surgery Physician. The NPI Number for Licking Memorial Surgical Services is 1366461386

Main info

Organization
Name
Licking Memorial Surgical Services
NPI
1366461386
Phone
(740) 348-1880
Address
1272 W MAIN ST
Authorized Official
ROBERT A. MONTAGNESE EXECUTIVE V.P.
Enumeration Date
19 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 Surgical Services

  • 1272, West Main Street, Newark, Licking County, Ohio, 43055, United States

    BLDG. 3

    NEWARK, OH 430552004

    Phone: (740) 348-1880

    Fax: (740) 348-1881

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

Can I use this page to confirm Licking Memorial Surgical Services's NPI?
Yes. Licking Memorial Surgical Services is listed with NPI 1366461386 in the public NPI dataset.
Is Licking Memorial Surgical Services listed as active for patients and plans?
The listing shows Licking Memorial Surgical Services as active in the NPI system.
What taxonomy line describes Licking Memorial Surgical Services?
For research purposes, treat Licking Memorial Surgical Services as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Licking Memorial Surgical Services list a practice location?
Patients near Newark, Ohio may find Licking Memorial Surgical Services in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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