Professional Provider Services LLC
NPI 1598522690 · Nurse Practitioner · North Ridgeville, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1598522690
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David O'Neill, Managing Member(440) 387-5500
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 605 Bradley RdBay Village, OH 44140-1670Phone: (440) 871-3474
- 20770 Lorain RdFairview Park, OH 44126-2019Phone: (440) 331-0300
- 13900 Detroit AveLakewood, OH 44107-4624Phone: (216) 228-7650
- 7250 Old Oak BlvdMiddleburg Heights, OH 44130-3341Phone: (440) 243-7888
- 4800 Clague RdNorth Olmsted, OH 44070-6207Phone: (440) 734-9933
- 38600 Center Ridge RdNorth Ridgeville, OH 44039-2837Phone: (440) 327-1295
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.