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PROVIDERGENIX LLC
NPI 1194327098
Nurse Practitioner - Primary Care in Cleveland, OH

Active since November 15, 2020
3100 E 45TH ST STE 234, CLEVELAND, OH 44127(419) 406-0067(866) 309-3044 Get Directions Write a Review

NPPES record last updated: November 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providergenix Llc NPPES

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

PROVIDERGENIX LLC (NPI 1194327098), doing business as Providergenix Healthcare Services, is a healthcare organization registered as a primary care in Cleveland, Ohio and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Lima and lists Thomas Lee Russell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194327098
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePROVIDERGENIX LLC
Location Address3100 E 45TH ST STE 234Cleveland, OH 44127-1091
Mailing Address3100 E 45th St Ste 234Cleveland, OH 44127-1091 · (419) 406-0067 · Fax (866) 309-3044
Phone(419) 406-0067
Fax(866) 309-3044
Organization SubpartNo
Authorized OfficialThomas Lee RussellCeo · (419) 406-0067
Enumeration DateNovember 15, 2020
NPPES CertifiedNovember 15, 2020
✔ NPI 1194327098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3100 E 45TH ST STE 234, Cleveland, OH 44127
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Other Names 1

Doing Business AsProvidergenix Healthcare Services

Secondary Practice Location 1

Location 1613 Canyon DrLima, OH 45804-3308 · Phone (419) 406-0067

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

PRIORITY MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
3100 E 45TH ST STE 234
CLEVELAND, OH 44127
Cuyahoga County (513) 628-7538
GUIDING LIGHT HOLISTIC CENTER INC
Nurse Practitioner (Psychiatric/Mental Health)
3100 E 45TH ST STE 234
CLEVELAND, OH 44127
Cuyahoga County (614) 636-5842
AELLEN HOME CARE LLC
In Home Supportive Care
3100 E 45TH ST STE 234
CLEVELAND, OH 44127
Cuyahoga County (216) 315-4435

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 Providergenix LLC's NPI number?

The NPI number for Providergenix LLC is 1194327098. It was assigned to this organization in the NPPES registry on November 15, 2020. The provider is doing business as Providergenix Healthcare Services.

Where is Providergenix LLC located?

Providergenix LLC is located at 3100 E 45th St Ste 234, Cleveland, OH 44127. The listed phone number is (419) 406-0067.

What is Providergenix LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Providergenix LLC was last updated on November 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.