Prodigy Office Anesthesia, LLC

Prodigy Office Anesthesia, LLC is a healthcare organization registered as Certified Registered Nurse Anesthetist in Corbin, KY, holding Type 2 (organization) NPI 1639950140 since 2023. The authorized official on file is Benjamin Small, Organizer.

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NPI	1639950140
Entity type	Organization (Type 2)
Legal business name	Prodigy Office Anesthesia, LLC
Practice address	1710 CUMBERLAND FALLS HWY, Corbin, KY, 40701
Phone	6065286700
Enumeration date	2023-10-10
Last updated in NPPES	2023-10-10

Authorized official

Name	Benjamin Small
Title	Organizer
Phone	3047414957

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
367500000X	Certified Registered Nurse Anesthetist	Primary	—	—

Copy-ready billing details

Provider: Prodigy Office Anesthesia, LLC
NPI: 1639950140
Taxonomy: 367500000X (Certified Registered Nurse Anesthetist)
Address: 1710 CUMBERLAND FALLS HWY, Corbin, KY, 40701

Providers at this address

NPI	Name	Type	Specialty	Location
1265433015	Michael Simons	Individual	Gastroenterology Physician	Corbin, KY
1578557708	Cumberland Gi, Psc	Organization	Gastroenterology Physician	Corbin, KY
1861648065	Janice Hedayati	Individual	Nurse Practitioner	Corbin, KY

Verify this record

Cross-check NPI 1639950140 against the authoritative CMS record: view Prodigy Office Anesthesia, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Prodigy Office Anesthesia, LLC located?

The practice location on file with NPPES is in Corbin, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-10.