Licking Memorial Professional Corporation
NPI 1831381706ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Newark, OH
Surgery, Plastic and Reconstructive Surgery in Newark, Ohio, registered in NPPES in August 2007. The authorized official on file is Renee Spring-Ives, Credentialing Coordinator.
Overview
| NPI | 1831381706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2007 |
| Last updated in NPPES | Aug 15, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|