PROVIDERGENIX LLC is a primary care nurse practitioner in Cleveland, OH. PROVIDERGENIX LLC NPI is 1194327098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3100 E 45TH ST STE 234 CLEVELAND, OH ZIP 44127-091 Phone: (419) 406-0067 Fax: (866) 309-3044
The provider's authorized official is Thomas Lee Russell . The authorized official title is Ceo and has the following contact phone number (419) 406-0067.
The enumeration date for this NPI number is 11/15/2020 and was last updated on 11/15/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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