PRODIGY DIALYSIS (NPI# 1811261431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811261431 |
| Entity Type | Organization |
| Organization Name | PRODIGY DIALYSIS |
| Practice Address |
119 Spring Ln Everett PA 15537-6938 |
| Mailing Address |
88 Osborne St Johnstown PA 15905-4146 |
| Practice Telephone | 8145390798 |
| Practice Fax Number | 8145364751 |
| Mailing Telephone | 8145390798 |
| Mailing Fax Number | 8145364751 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | CORY YACYNYCH (PRACTICE MANAGER) |
| Authorized Official Telephone | 8142994676 |
| 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 |
| 1811131790 | Prodigy Dialysis | Clinic/Center | 211 Georgian Pl, Somerset, PA 15501-1610 | 2009-04-23 |
| 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 |
119 SPRING LN |
| City | EVERETT |
| State | PA |
| Zip Code | 15537-6938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548418593 | Ashley Johnson | Counselor | 119 Spring Ln, Everett, PA 15537-6938 | 2008-09-03 |
| 1023250875 | Stephen Francis Donnelly | Counselor | 119 Spring Ln, Everett, PA 15537-6938 | 2009-03-25 |
| 1003065962 | Kara Marie Stefanick | Counselor | 119 Spring Ln, Everett, PA 15537-6938 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
| 1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
| 1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
| 1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
| Find all providers in zip 15537 | ||||
| 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 |
|---|---|---|---|---|
| 1801404124 | Northwest Kidney Centers | Clinic/Center | 1010 Se Everett Mall Way Ste 104, Everett, WA 98208-2855 | 2020-07-22 |
| 1174766299 | Refuge Dialysis LLC | Clinic/Center | 8130 Evergreen Way, Suite C, Everett, WA 98203-6419 | 2009-04-20 |
| 1053357434 | Puget Sound Kidney Centers | Clinic/Center | 1005 Pacific Ave, Everett, WA 98201-4148 | 2006-06-22 |
| 1518920131 | Keystone Kidney Care Inc | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2006-04-07 |
| 1104379726 | Usrc Bedford, LLC | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2016-08-01 |
| 1326460643 | Keystone Kidney Care, LLC | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2014-01-07 |
| 1194048702 | Refuge Dialysis LLC | Clinic/Center | 8130 Evergreen Way, Everett, WA 98203-6419 | 2010-03-10 |
| 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 | ||||
Please comment or provide details below to improve the information on PRODIGY DIALYSIS.
| 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.