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Prodigy Dialysis

Prodigy Dialysis is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Johnstown, PA, holding Type 2 (organization) NPI 1811131782 since 2009. The authorized official on file is George Frem, Ceo/Medical Director.

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NPI 1811131782
Entity type Organization (Type 2)
Legal business name Prodigy Dialysis
Practice address 88 OSBORNE ST, Johnstown, PA, 15905
Phone 8145390798
Fax 8145364751
Enumeration date 2009-04-23
Last updated in NPPES 2009-04-23

Authorized official

Name George Frem
Title Ceo/Medical Director
Phone 8145390798

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary MD042825E PA
Copy-ready billing details
Provider: Prodigy Dialysis
NPI: 1811131782
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 88 OSBORNE ST, Johnstown, PA, 15905

Providers at this address

NPI Name Type Specialty Location
1053315549 George Frem Individual Nephrology Physician Johnstown, PA
1790784742 Paul V Woolley, MD, PC Organization Hematology & Oncology Physician Johnstown, PA
1811960552 Jennifer Fetterman Individual Physician Assistant Johnstown, PA
1629032024 Deborah Menzie Individual Nephrology Physician Johnstown, PA
1740433648 Renal Care Consultants, PC Organization Nephrology Physician Johnstown, PA
1588894547 Megan Montag Individual Registered Dietitian Johnstown, PA
1962768754 Renal Care Consultants, PC Organization Renal Nutrition Registered Dietitian Johnstown, PA
1740543974 Nina Rucosky Individual Renal Nutrition Registered Dietitian Johnstown, PA

Verify this record

Cross-check NPI 1811131782 against the authoritative CMS record: view Prodigy Dialysis 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 Dialysis located?
The practice location on file with NPPES is in Johnstown, PA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-04-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-23.