Licking Memorial Gastroenterology – Gastroenterology Physician, NPI 1770503112

Licking Memorial Gastroenterology is a healthcare provider. based in Newark, Ohio. specializing in Gastroenterology Physician. The NPI Number for Licking Memorial Gastroenterology is 1770503112

Main info

Organization
Name
Licking Memorial Gastroenterology
NPI
1770503112
Phone
(740) 348-4137
Address
1320 W MAIN ST
Authorized Official
ROBERT A. MONTAGNESE EXECUTIVE V.P.
Enumeration Date
20 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 Gastroenterology

  • Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States

    NEWARK, OH 430551822

    Phone: (740) 348-4137

    Fax: (740) 348-4119

    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

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

What unique ID ties claims to Licking Memorial Gastroenterology?
NPI 1770503112 is assigned to Licking Memorial Gastroenterology under the national enumeration system.
Is Licking Memorial Gastroenterology currently active in the NPI registry?
CMS-published data lists Licking Memorial Gastroenterology as an active registrant.
What kind of provider is Licking Memorial Gastroenterology?
The page reflects Gastroenterology Physician for Licking Memorial Gastroenterology. Clinical services aligned with this taxonomy classification.
Where does public data place Licking Memorial Gastroenterology?
The snapshot lists Newark, Ohio for Licking Memorial Gastroenterology; download NPPES for the complete set.
How can I contact Licking Memorial Gastroenterology?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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