Professional Provider Services LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PROFESSIONAL PROVIDER SERVICES LLC

Practice address

38642 Center Ridge Rd
North Ridgeville, OH 44039-5812

Phone

(440) 387-5500

NPI assigned

Mar 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David O'Neill

Title

Managing Member

Phone

(440) 387-5500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charmain N Canfield, APRN FNP-C

  • Nurse Practitioner
  • Strongsville, OH
  • NPI 1144827254
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1598522690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38642 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38642 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395812",
            "telephone_number": "440-387-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Old Oak Blvd",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303341",
            "country_code": "US",
            "telephone_number": "440-243-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Clague Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440706207",
            "country_code": "US",
            "telephone_number": "440-734-9933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20770 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "441262019",
            "country_code": "US",
            "telephone_number": "440-331-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Bradley Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Village",
            "state": "OH",
            "postal_code": "441401670",
            "country_code": "US",
            "telephone_number": "440-871-3474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13900 Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441074624",
            "country_code": "US",
            "telephone_number": "216-228-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38600 Center Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "North Ridgeville",
            "state": "OH",
            "postal_code": "440392837",
            "country_code": "US",
            "telephone_number": "440-327-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-387-5500"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halle A Plagens, LPC
• Christopher Adam Pluskota, D.O.
• Kimberly Porubsky
• Katelyn Preston
• Sandra Prodan, MED, LPC
• Progress Road ABA LLC
• Progressive North Ridgeville LLC
• Brian S Putka, M.D.
• Carla Quintana
• Margaret Loretta Radziewicz

• Nurse Practitioner in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.