LICKING MEMORIAL FAMILY PRACTICE PATASKALA
NPI 1851325526
Family Medicine in Pataskala, OH

NPI Status: Active since July 10, 2006

Contact Information

1 HEALTHY PL
SUITE 101
PATASKALA, OH
ZIP 43062
Phone: (740) 348-1900
Fax: (740) 348-1901

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  • Organization
  • Family Medicine
  • CLIA Number: 36D0987961
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-21-2026

About LICKING MEMORIAL FAMILY PRACTICE PATASKALA

This page provides the complete NPI Profile along with additional information for Licking Memorial Family Practice Pataskala, a primary care provider established in Pataskala, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1851325526 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Licking Memorial Family Practice Pataskala. The authorized official of this NPI record is Robert A. Montagnese (Executive V.p.)

NPI
1851325526
Provider Legal Name
LICKING MEMORIAL PROFESSIONAL CORP
Other Organization Name
LICKING MEMORIAL FAMILY PRACTICE PATASKALA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 HEALTHY PL SUITE 101 PATASKALA, OH 43062
Location Phone
(740) 348-1900
Location Fax
(740) 348-1901
Mailing Address
1 HEALTHY PL SUITE 101 PATASKALA, OH 43062
Mailing Phone
(740) 348-1900
Mailing Fax
(740) 348-1901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
08-22-2020
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A primary care provider (PCP) like Licking Memorial Family Practice Pataskala sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT A. MONTAGNESE

Authorized Official Title
EXECUTIVE V.P.
Authorized Official Phone
(740) 348-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0987961
Facility Type
Physician Office
Certificate Effective Date
July 22, 2024
Certificate Expiration Date
July 21, 2026
Laboratory Director
COLLEEN SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Licking Memorial Family Practice Pataskala to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1851325526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28101621054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 6 + 2 + 1 + 0 + 5 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1851325526 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942249735 DALIA S ELKHAIRI MD
Individual
Obstetrics & Gynecology1 HEALTHY PL SUITE 201
PATASKALA, OH 43062
(740) 348-1920
1700291416LICKING MEMORIAL PROFESSIONAL CORPORATION
Organization
Dermatology1 HEALTHY PL SUITE 205
PATASKALA, OH 43062
(740) 348-1930
1144240581LICKING MEMORIAL PROFESSIONAL CORP.
Organization
Pediatrics1 HEALTHY PL STE 203
PATASKALA, OH 43062
(740) 348-1925
1104869700 TIFFANY E.D. INGLIS M.D.
Individual
Obstetrics & Gynecology1 HEALTHY PL SUITE 201
PATASKALA, OH 43062
(220) 564-1920
1235159674LICKING MEMORIAL PROFESSIONAL CORP.
Organization
Obstetrics & Gynecology1 HEALTHY PL SUITE 103
PATASKALA, OH 43062
(740) 348-1920
1295809614LICKING MEMORIAL PROFESSIONAL CORP.
Organization
Psychiatry & Neurology (Psychiatry)1 HEALTHY PL SUITE 105
PATASKALA, OH 43062
(740) 348-1930
1952479115 CONNIE S JENKINS MD
Individual
Psychiatry & Neurology (Psychiatry)1 HEALTHY PL SUITE 105
PATASKALA, OH 43062
(740) 348-1930
1255330965DR. COLLEEN SMITH MD
Individual
Family Medicine1 HEALTHY PL SUITE 101
PATASKALA, OH 43062
(220) 564-1900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851325526, enumerated in the NPI registry as an "organization" on July 10, 2006

The provider is located at 1 Healthy Pl Suite 101 Pataskala, Oh 43062 and the phone number is (740) 348-1900

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 36D0987961 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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