DR. JOANN KRIVETZKY MD NPI 1922017607

NPI Information

NPI: 1922017607
Provider Name: DR. JOANN KRIVETZKY, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
4256 FULTON DR NW
STE B
CANTON, OH
ZIP 44718
Phone: (330) 546-0751
Get Directions

DR. Joann Krivetzky, MD 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 DR. Joann Krivetzky, MD NPI is 1922017607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

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 NPI 1922017607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 5/24/2012.

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
1	207V00000X	Obstetrics & Gynecology		35072306K	OHIO	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	35-072306K	OHIO	Yes

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
1	1790070191	OTHER		GROUP NPI
2	0835571	MEDICARE PIN
3	2025098	MEDICAID	OHIO
4	G73049	MEDICARE 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: 4/28/2024

NPI Synchronization or Removal

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