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PRODIGY OFFICE ANESTHESIA, LLC
NPI 1639950140
Nurse Anesthetist, Certified Registered in Corbin, KY

Active since October 10, 2023
1710 CUMBERLAND FALLS HWY, CORBIN, KY 40701(606) 528-6700 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prodigy Office Anesthesia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRODIGY OFFICE ANESTHESIA, LLC (NPI 1639950140) is a healthcare organization registered as a nurse anesthetist, certified registered in Corbin, Kentucky and active in the NPI registry since October 2023. The organization lists Benjamin T. Small, Organizer, as its authorized official.

NPPES Registry Identity

NPI1639950140
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePRODIGY OFFICE ANESTHESIA, LLC
Location Address1710 CUMBERLAND FALLS HWYCorbin, KY 40701-2727
Mailing Address917 Country Oaks DrRichmond, KY 40475-8492 · (304) 741-4957
Phone(606) 528-6700
Organization SubpartNo
Authorized OfficialBenjamin T. SmallOrganizer · (304) 741-4957
Enumeration DateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
✔ NPI 1639950140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1710 CUMBERLAND FALLS HWY, Corbin, KY 40701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL EVAN SIMONS MD
Internal Medicine (Gastroenterology)
1710 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Whitley County (606) 528-6700
CUMBERLAND GI, PSC
Internal Medicine (Gastroenterology)
1710 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Whitley County (606) 528-6700
JANICE HEDAYATI NP
Nurse Practitioner
1710 CUMBERLAND FALLS HWY
CORBIN, KY 40701
Whitley County (606) 528-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prodigy Office Anesthesia, LLC's NPI number?

The NPI number for Prodigy Office Anesthesia, LLC is 1639950140. It was assigned to this organization in the NPPES registry on October 10, 2023.

Where is Prodigy Office Anesthesia, LLC located?

Prodigy Office Anesthesia, LLC is located at 1710 Cumberland Falls Hwy, Corbin, KY 40701. The listed phone number is (606) 528-6700.

What is Prodigy Office Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Prodigy Office Anesthesia, LLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.