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Licking Memorial Professional Corp.

Pediatrics Physician in Pataskala, OH · enumerated 2006 · authorized official Cynthia Webster, Vp Financial Service.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144240581

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Registry record

Entity type Organization (Type 2)
Legal business name Licking Memorial Professional Corp.
Other name <Unavail>
Practice address 1 Healthy Pl, Ste 203, Pataskala, OH, 43062
Fax (740) 348-1926
Enumeration date Jul 20, 2006
Last updated in NPPES Oct 13, 2014

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Cynthia Webster
Title Vp Financial Service

Other identifiers

Identifier Type State Issuer
2596767 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-13. Verify at npiregistry.cms.hhs.gov.
Where is Licking Memorial Professional Corp. located?
The practice location on file with NPPES is in Pataskala, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-13.