Providergenix Llc

LBN: Providergenix Llc
Providergenix Llc is an health care organization with primary practice located at 3100 E 45Th St Ste 234 , Cleveland OH 44127-1091. The organization recently has 13 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Providergenix Llc can be contacted via phone (419) 406-0067, or through Russell, Thomas Lee via phone (419) 406-0067.

Contact Information

Primary practice address
3100 E 45Th St Ste 234 Cleveland OH 44127-1091
Phone: (419) 406-0067
Fax: (866) 309-3044
Website:
Map and Directions
Authorized official contact:
Name: Russell, Thomas Lee DNP, CNP, FNP-C
Phone: (419) 406-0067

Health care specialties

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

Profile Details

NPI number 1194327098
LBN Legal business name Providergenix Llc
DBA Doing business as
Authorized official Russell, Thomas Lee DNP, CNP, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2020
Last updated Nov 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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