Organization Active NPI

Progressive Women's Care, Inc.

  • Obstetrics & Gynecology Physician
  • Boardman, OH
National Provider Identifier
1871595702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PROGRESSIVE WOMEN'S CARE, INC.
Practice address
7600 Southern Blvd
Suite 1
Boardman, OH 44512-6085
Phone
(330) 629-2677
NPI assigned
Aug 11, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joni S Canby, D.O.NPI 1144222068
Title
President
Phone
(330) 629-2677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OH Primary

Addresses

Primary practice location

7600 Southern Blvd
Suite 1
Boardman, OH 44512-6085

Mailing address

PO Box 92423
Cleveland, OH 44193-0003
Phone (330) 629-2677

Other identifiers 1

IdentifierTypeStateIssuer
2077229MedicaidOH

National Provider Directory

National Provider Directory

Locations

20 Fairlawn Ave
Youngstown, OH 44505
Phone (330) 759-6000

500 Gypsy Ln
Ste 3
Youngstown, OH 44504
Phone (330) 629-8466

6505 Market St
#104
Youngstown, OH 44512
Phone (330) 629-8466

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871595702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92423",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930003",
            "telephone_number": "330-629-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SOUTHERN BLVD",
            "address_2": "SUITE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126085",
            "telephone_number": "330-629-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WOMEN'S CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANBY",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-629-2677",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.