Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking Memorial Professional Corporation

Organization Gynecology Physician · NPI 1053758631

Licking Memorial Professional Corporation provides Gynecology Physician services in Newark, Ohio. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

270 Goosepond Rd Ste 102
Newark, OH 43055 Not confirmed with CMS for 13 years — call before visiting
Phone: (740) 348-7945
Fax: (740) 348-7946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1053758631
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLicking Memorial Professional Corporation
Authorized official Cynthia Webster — Vp Financial Service · (740) 348-4518
Other names Licking Memorial Women'S Health- North Newark
NPI enumeratedMay 23, 2013
Last updated in NPPESMay 23, 2013
Mailing address270 Goosepond Rd., Ste 102, Newark, OH 43055

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