Joann Krivetzky, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

35-072306K Issued in OH

Practice address

4256 Fulton Dr NW
Ste B
Canton, OH 44718-2879

Phone

(330) 546-0751

Fax

(330) 956-5237

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stark County Women'S Clinic Inc

  • Obstetrics & Gynecology Physician
  • Canton, OH
  • NPI 1205923430
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1922017607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 FULTON DR NW",
            "address_2": "STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182879",
            "telephone_number": "330-546-0751",
            "fax_number": "330-956-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 FULTON DR NW",
            "address_2": "STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182879",
            "telephone_number": "330-546-0751",
            "fax_number": "330-956-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVETZKY",
        "first_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35072306K",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35-072306K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1790070191",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025098",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krishna P. Agarwala, M.D., Inc
• Arvind Y Krishna, MD
• Aravinth Krishnamoorthy, MD
• McKenna J Kriska, CDCA
• Melinda Kristoff, OTR/L
• Charles Alexander Krizmanich, LSW
• Ashley Nicole Kroah, NP
• Collin D Kroen, MD
• Molley Krstich, CT
• Lisa Anne Krumm, CRNA

• Gynecology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.