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PRODIGY DIALYSIS
NPI 1811261431
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Everett, PA

Active since February 29, 2012
119 SPRING LN, EVERETT, PA 15537(814) 539-0798(814) 536-4751 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prodigy Dialysis NPPES

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

PRODIGY DIALYSIS (NPI 1811261431) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Everett, Pennsylvania and active in the NPI registry since February 2012. The organization lists Cory Yacynych, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1811261431
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePRODIGY DIALYSIS
Location Address119 SPRING LNEverett, PA 15537-6938
Mailing Address88 Osborne StJohnstown, PA 15905-4146 · (814) 539-0798 · Fax (814) 536-4751
Phone(814) 539-0798
Fax(814) 536-4751
Organization SubpartNo
Authorized OfficialCory YacynychPractice Manager · (814) 299-4676
Enumeration DateFebruary 29, 2012
Last NPPES UpdateApril 12, 2012
✔ NPI 1811261431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in PA · MD042825E
119 SPRING LN, Everett, PA 15537
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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.

KARA MARIE STEFANICK
Counselor (Mental Health)
119 SPRING LN
EVERETT, PA 15537
Bedford County (814) 623-1212
STEPHEN FRANCIS DONNELLY MA
Counselor
119 SPRING LN
EVERETT, PA 15537
Bedford County (814) 623-1212
ASHLEY JOHNSON
Counselor (Mental Health)
119 SPRING LN
EVERETT, PA 15537
Bedford County (814) 623-1212

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 Dialysis's NPI number?

The NPI number for Prodigy Dialysis is 1811261431. It was assigned to this organization in the NPPES registry on February 29, 2012.

Where is Prodigy Dialysis located?

Prodigy Dialysis is located at 119 Spring Ln, Everett, PA 15537. The listed phone number is (814) 539-0798.

What is Prodigy Dialysis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Prodigy Dialysis was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.