DR. JOANN KRIVETZKY (NPI# 1922017607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922017607 |
| Entity Type | Individual |
| Full Name | DR. JOANN KRIVETZKY |
| Credential | MD |
| Practice Address |
4256 Fulton Dr Nw Ste B Canton OH 44718-2879 |
| Practice Telephone | 3305460751 |
| Practice Fax Number | 3309565237 |
| Mailing Telephone | 3305460751 |
| Mailing Fax Number | 3309565237 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 35072306K | OH | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
35-072306K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1790070191 | 01 | |
| OH | 2025098 | 05 |
| Street Address |
4256 FULTON DR NW STE B |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021689 | Ultimate Access Primary Care | Internal Medicine | 4256 Fulton Dr Nw, Canton, OH 44718-2879 | 2018-01-17 |
| 1821342304 | Megan Elizabeth Husted | Nurse Practitioner | 4256 Fulton Dr Nw, Suite A, Canton, OH 44718-2879 | 2012-11-05 |
| 1538419957 | Amani Womens Wellness LLC | Specialist | 4256 Fulton Dr Nw, Suite A, Canton, OH 44718-2879 | 2012-09-13 |
| 1790070191 | Premier Gynecology, Inc. | Obstetrics & Gynecology | 4256 Fulton Dr Nw, Ste B, Canton, OH 44718-2879 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619197472 | James L Cross | Obstetrics & Gynecology | 279 Hickory Cove Dr, Canton, GA 30115-4678 | 2007-04-26 |
| 1790070191 | Premier Gynecology, Inc. | Obstetrics & Gynecology | 4256 Fulton Dr Nw, Ste B, Canton, OH 44718-2879 | 2011-06-14 |
| 1629233192 | Euro Obgyn, Inc | Obstetrics & Gynecology | 2525 13th St Nw, 102, Canton, OH 44708-3118 | 2008-07-24 |
| 1902085939 | Courtney E Sinclair Md PC | Obstetrics & Gynecology | 310 Paper Trail Way, Suite 109, Canton, GA 30115-5203 | 2007-10-26 |
| 1700907144 | Rula N Al-aouar | Obstetrics & Gynecology | 6300 N Haggerty Rd Ste 200, Canton, MI 48187-4472 | 2007-04-03 |
| 1184717035 | Courtney Evans Sinclair | Obstetrics & Gynecology | 310 Paper Trail Way, Suite 109, Canton, GA 30115 | 2006-10-02 |
| 1770674947 | Priyabala Ramaiah | Obstetrics & Gynecology | 1445 Harrison Ave Nw, Suite 302, Canton, OH 44708-2620 | 2006-09-27 |
| 1952492175 | Total Women's Care, Inc | Obstetrics & Gynecology | 1445 Harrison Ave Nw, Suite 302, Canton, OH 44708-2620 | 2006-09-27 |
| 1033127774 | Stanely F Summerson | Obstetrics & Gynecology | 5000 Higbee Ave Nw, Canton, OH 44718-2522 | 2006-08-04 |
| 1750397345 | Vilma E Ruddock | Obstetrics & Gynecology | 320 Hospital Rd, Canton, GA 30114-2432 | 2006-08-01 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on DR. JOANN KRIVETZKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.