PRODIGY DIALYSIS (NPI# 1417191404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417191404 |
| Entity Type | Organization |
| Organization Name | PRODIGY DIALYSIS |
| Practice Address |
25 Center St Meyersdale PA 15552-1101 |
| Mailing Address |
88 Osborne St Johnstown PA 15905-4146 |
| Practice Telephone | 8146347032 |
| Practice Fax Number | 8146347052 |
| Mailing Telephone | 8145390798 |
| Mailing Fax Number | 8145364751 |
| Enumeration Date | 2009-04-22 |
| 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 |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
25 CENTER ST |
| City | MEYERSDALE |
| State | PA |
| Zip Code | 15552-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073655759 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 7160 Mason Dixon Highway, Meyersdale, PA 15552 | 2007-02-12 |
| 1649201187 | Conemaugh Health Initiatives | Family Medicine | 312 Industrial Park Road, Meyersdale, PA 15552 | 2006-07-05 |
| 1740441849 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 7160 Mason Dixon Highway, Meyersdale, PA 15552 | 2008-06-20 |
| 1346377587 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 312 Industrial Park Rd, Meyersdale, PA 15552 | 2007-02-27 |
| 1467522573 | Conemaugh Health Initiatives | Family Medicine | 312 Industrial Park Road, Box 336, Meyersdale, PA 15552 | 2006-11-08 |
| 1245288851 | Aijaz A Syed | Emergency Medicine | 200 Hospital Dr, Meyersdale Emergency Physicians Group, Meyersdale, PA 15552 | 2006-05-05 |
| 1861453623 | Lawrence L Rentschler | Emergency Medicine | 200 Hospital Dr, Meyersdale Emergency Physicians Group, Meyersdale, PA 15552 | 2006-03-31 |
| 1043271703 | Alvise G Anti | Emergency Medicine | 200 Hospital Dr, Meyersdale Emergency Physicians Group, Meyersdale, PA 15552 | 2006-03-31 |
| 1679533079 | Meyersdale Community Hospital | Emergency Medicine | 200 Hospital Dr, Meyersdale Emergency Physicians Group, Meyersdale, PA 15552 | 2006-03-28 |
| 1568641579 | Meyersdale Area Ambulance Assoc. | Ambulance | 615 Salisbury St, Meyersdale, PA 15552-0285 | 2007-10-25 |
| Find all providers in zip 15552 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MEYERSDALE |
| Zip Code | 15552 |
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.