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PREMIER GYNECOLOGY, INC.
NPI 1790070191
Obstetrics & Gynecology - Gynecology in Canton, OH

Active since June 14, 2011
4256 FULTON DR NW, STE B, CANTON, OH 44718(330) 546-0751(330) 956-5237 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Gynecology, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER GYNECOLOGY, INC. (NPI 1790070191) is a healthcare organization registered as a gynecology in Canton, Ohio and active in the NPI registry since June 2011. The organization lists Joann Krivetzky, President, as its authorized official.

NPPES Registry Identity

NPI1790070191
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePREMIER GYNECOLOGY, INC.
Location Address4256 FULTON DR NW, STE BCanton, OH 44718-2879
Mailing Address4256 Fulton Dr Nw, Ste BCanton, OH 44718-2879 · (330) 546-0751 · Fax (330) 956-5237
Phone(330) 546-0751
Fax(330) 956-5237
Organization SubpartNo
Authorized OfficialJoann KrivetzkyPresident · (330) 546-0751
Enumeration DateJune 14, 2011
✔ NPI 1790070191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in OH · 35072306K
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
4256 FULTON DR NW, Canton, OH 44718
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Other Identifiers 1

Medicare UPING73049

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ULTIMATE ACCESS PRIMARY CARE
Internal Medicine
4256 FULTON DR NW
CANTON, OH 44718
Stark County (330) 754-6696
MRS. MEGAN ELIZABETH HUSTED CNP
Nurse Practitioner (Family)
4256 FULTON DR NW, SUITE A
CANTON, OH 44718
Stark County (330) 493-3800
DR. JOANN KRIVETZKY MD
Obstetrics & Gynecology (Gynecology)
4256 FULTON DR NW, STE B
CANTON, OH 44718
Stark County (330) 546-0751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Gynecology, Inc.'s NPI number?

The NPI number for Premier Gynecology, Inc. is 1790070191. It was assigned to this organization in the NPPES registry on June 14, 2011.

Where is Premier Gynecology, Inc. located?

Premier Gynecology, Inc. is located at 4256 Fulton Dr NW Ste B, Canton, OH 44718. The listed phone number is (330) 546-0751.

What is Premier Gynecology, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Premier Gynecology, Inc. was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.