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Providergenix LLC

Primary Care Nurse Practitioner in Cleveland, OH · enumerated 2020 · authorized official Thomas Russell, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194327098

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Registry record

Entity type Organization (Type 2)
Legal business name Providergenix LLC
Practice address 3100 E 45th St Ste 234, Cleveland, OH, 44127
Phone (419) 406-0067
Fax (866) 309-3044
Enumeration date Nov 15, 2020
Last updated in NPPES Nov 15, 2020

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
163WA0400X Addiction (Substance Use Disorder) Registered Nurse Nursing Service Providers Secondary
163WG0000X General Practice Registered Nurse Nursing Service Providers Secondary
163WH0200X Home Health Registered Nurse Nursing Service Providers Secondary
163WI0500X Infusion Therapy Registered Nurse Nursing Service Providers Secondary
163WP0808X Psychiatric/Mental Health Registered Nurse Nursing Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0802X Addiction Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Thomas Russell
Title Ceo
Phone (419) 406-0067

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Providergenix LLC located?
The practice location on file with NPPES is in Cleveland, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-15.