Individual
GREGORY KRIVCHENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 SECOND ST, MARIETTA, OH 45750
(740) 373-8756
(740) 373-0091
Mailing address
611 SECOND ST, MARIETTA, OH 45750
(740) 373-8756
(740) 373-0091
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14610
WV
207X00000X
Orthopaedic Surgery Physician
Primary
35046510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117049
ANTHEM
—
01
—
000077407
BCBS
—
05
—
00970530000
—
WV
05
—
0631365
—
OH
01
—
200006583
RR MEDICARE
—
Enumeration date
05/02/2006
Last updated
09/30/2025
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