PRODIGY DIALYSIS (NPI# 1811131790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811131790 |
| Entity Type | Organization |
| Organization Name | PRODIGY DIALYSIS |
| Practice Address |
211 Georgian Pl Somerset PA 15501-1610 |
| Mailing Address |
88 Osborne St Johnstown PA 15905-4146 |
| Practice Telephone | 8144431600 |
| Practice Fax Number | 8144431601 |
| Mailing Telephone | 8145390798 |
| Mailing Fax Number | 8145364751 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2014-01-10 |
| Authorized Official Name | DR. GEORGE J FREM (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8145390798 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
MD042825E | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191404 | Prodigy Dialysis | Clinic/Center | 25 Center St, Meyersdale, PA 15552-1101 | 2009-04-22 |
| 1043393440 | Prodigy Dialysis | Clinic/Center | 105 Metzler St, Johnstown, PA 15904-3124 | 2006-10-23 |
| 1851645840 | Prodigy Dialysis | Clinic/Center | 211 Thompson St, Seward, PA 15954-2053 | 2012-10-30 |
| 1902170525 | Prodigy Dialysis | Clinic/Center | 387 Theatre Rd, Carrolltown, PA 15722-7805 | 2012-02-29 |
| 1811261431 | Prodigy Dialysis | Clinic/Center | 119 Spring Ln, Everett, PA 15537-6938 | 2012-02-29 |
| 1811131782 | Prodigy Dialysis | Clinic/Center | 88 Osborne St, Johnstown, PA 15905-4146 | 2009-04-23 |
| 1184868051 | Prodigy Dialysis | Clinic/Center | 1100 W High St, Ebensburg, PA 15931-1706 | 2009-04-23 |
| 1023065554 | Prodigy Dialysis | Clinic/Center | 1111 Franklin St, Suite 220, Johnstown, PA 15905-4330 | 2006-05-29 |
| Street Address |
211 GEORGIAN PL |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619118551 | Renal Care Consultants, PC | Physician Assistant | 211 Georgian Pl, Somerset, PA 15501-1610 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1063643856 | Jacob Wayne Shipley | Anesthesiology | 126 E Church St Ste 2400, Somerset, PA 15501 | 2009-07-28 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| Find all providers in zip 15501 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366813701 | Fresenius Medical Care Piscataway, LLC | Clinic/Center | 1135 Easton Ave, Somerset, NJ 08873-1682 | 2015-10-12 |
| 1265796122 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 140 Stone Crest Dr, Somerset, KY 42501-6259 | 2012-06-26 |
| 1295847028 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 119 Tradepark Dr, Somerset, KY 42503-3428 | 2006-08-31 |
| 1598799512 | Shining Star Dialysis Inc | Clinic/Center | 240 Churchill Ave, Somerset, NJ 08873-3451 | 2006-07-10 |
| 1023041415 | Dialysis Clinic Inc. | Clinic/Center | 950 Hamilton St, Somerset, NJ 08873-3338 | 2006-07-08 |
| 1124568563 | Total Renal Care Inc | Clinic/Center | 920 Hamilton St, Ste C-3, Somerset, NJ 08873-3600 | 2017-03-05 |
| 1013144922 | Total Renal Care Inc | Clinic/Center | 229 S Kimberly Ave, Ste 100, Somerset, PA 15501 | 2009-06-18 |
| 1265448898 | West Penn Allegheny Health System Inc. | Clinic/Center | 229 S Kimberly Ave, Suite 100, Somerset, PA 15501-2022 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.