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PRODIGY DIALYSIS
NPI 1902170525
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Carrolltown, PA

Active since February 29, 2012
387 THEATRE RD, CARROLLTOWN, PA 15722(814) 539-0798(814) 536-4751 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prodigy Dialysis NPPES

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

PRODIGY DIALYSIS (NPI 1902170525) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Carrolltown, Pennsylvania and active in the NPI registry since February 2012. The organization lists Cory Yacynych, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1902170525
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePRODIGY DIALYSIS
Location Address387 THEATRE RDCarrolltown, PA 15722-7805
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 UpdateSeptember 25, 2012
✔ NPI 1902170525 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
387 THEATRE RD, Carrolltown, PA 15722
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Other Providers at the Same Location NPPES 5

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

GEORGE WEBER MD
Family Medicine
387 THEATRE RD
CARROLLTOWN, PA 15722
Cambria County (814) 344-8477
DENISE REMATT PT
Physical Therapist
387 THEATRE RD, SUITE 104
CARROLLTOWN, PA 15722
Cambria County (814) 344-9240
CONEMAUGH HEALTH INITIATIVES
Family Medicine
387 THEATRE RD
CARROLLTOWN, PA 15722
Cambria County (814) 344-8480
BRIAN E LIEB DO
Family Medicine
387 THEATRE RD
CARROLLTOWN, PA 15722
Cambria County (814) 344-8477
MS. DIANE MICHELLE SMITH PA-C
Physician Assistant (Medical)
387 THEATRE RD
CARROLLTOWN, PA 15722
Cambria County (814) 344-8477

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 1902170525. It was assigned to this organization in the NPPES registry on February 29, 2012.

Where is Prodigy Dialysis located?

Prodigy Dialysis is located at 387 Theatre Rd, Carrolltown, PA 15722. 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 September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.