Licking Memorial Professional Corporation
NPI 1770503112ActiveOrganization· Internal Medicine, Gastroenterology· Newark, OH
Internal Medicine, Gastroenterology in Newark, Ohio, registered in NPPES in July 2006. The authorized official on file is Robert A. Montagnese, Executive V.P.
Overview
| NPI | 1770503112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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