PREMIER GYNECOLOGY INC. NPI 1790070191

NPI Information

  • NPI: 1790070191
  • Provider Name: PREMIER GYNECOLOGY, INC.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 4256 FULTON DR NW
    STE B
    CANTON, OH
    ZIP 44718
  • Phone: (330) 546-0751

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NPI Details

PREMIER GYNECOLOGY, INC. is a gynecology obstetrics gynecology in Canton, OH. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee PREMIER GYNECOLOGY, INC. NPI is 1790070191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4256 FULTON DR NW
STE B
CANTON, OH
ZIP 44718-879
Phone: (330) 546-0751
Fax: (330) 956-5237

The provider's authorized official is Joann Krivetzky .
The authorized official title is President and has the following contact phone number (330) 546-0751.

The enumeration date for this NPI number is 6/14/2011 and was last updated on 6/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology35072306KOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G73049MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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