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Licking Memorial Professional Corp

Geriatric Medicine (Family Medicine) Physician in Newark, OH · enumerated 2007 · authorized official Thomas Poulson, Cfo.

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

National Provider Identifier

1497937510

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Registry record

Entity type Organization (Type 2)
Legal business name Licking Memorial Professional Corp
Other name <Unavail>
Practice address 1450 W Main St, Newark, OH, 43055
Phone (740) 348-7935
Fax (740) 348-7936
Enumeration date Nov 30, 2007
Last updated in NPPES Nov 30, 2007

Taxonomy & classification

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Thomas Poulson
Title Cfo
Phone (740) 348-4110

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

What is the NPI number for Licking Memorial Professional Corp?
The NPI for Licking Memorial Professional Corp is 1497937510, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Licking Memorial Professional Corp?
NPPES lists Thomas Poulson (Cfo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-30.