Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providergenix LLC

Organization Registered Nurse · NPI 1194327098

Providergenix LLC is a Registered Nurse in Cleveland, Ohio. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
13
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 E 45th St Ste 234
Cleveland, OH 44127-1091
Phone: (419) 406-0067
Fax: (866) 309-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 613 Canyon Dr, Lima, OH 45804-3308 — (419) 406-0067

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Registered Nurse Taxonomy 163W00000X
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X
General Practice Registered Nurse Taxonomy 163WG0000X
Home Health Registered Nurse Taxonomy 163WH0200X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1194327098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Russell — Ceo · (419) 406-0067
Other names Providergenix Healthcare Services
NPI enumeratedNovember 15, 2020
Last updated in NPPESNovember 15, 2020
Certification dateNovember 15, 2020
Mailing address3100 E 45th St Ste 234, Cleveland, OH 44127-1091

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