Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Licking Memorial Professional Corp.

Pediatrics Physician in Utica, OH · enumerated 2006 · authorized official Robert Montagnese, Executive V.P..

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

National Provider Identifier

1497771521

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Registry record

Entity type Organization (Type 2)

Legal business name Licking Memorial Professional Corp.

Other name <Unavail>

Practice address 240 N. Main St, Utica, OH, 43080

Phone (740) 348-1740

Fax (740) 348-1741

Enumeration date Jul 14, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Montagnese

Title Executive V.P.

Phone (740) 348-4000

Other identifiers

Identifier	Type	State	Issuer
2143906	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.

Read the full guide → Validate an NPI →

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 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Licking Memorial Professional Corp. located?

The practice location on file with NPPES is in Utica, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.