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Prodigy Dialysis

Prodigy Dialysis is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Everett, PA, holding Type 2 (organization) NPI 1811261431 since 2012. The authorized official on file is Cory Yacynych, Practice Manager.

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NPI 1811261431
Entity type Organization (Type 2)
Legal business name Prodigy Dialysis
Practice address 119 SPRING LN, Everett, PA, 15537
Phone 8145390798
Fax 8145364751
Enumeration date 2012-02-29
Last updated in NPPES 2012-04-12

Authorized official

Name Cory Yacynych
Title Practice Manager
Phone 8142994676

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: 1811261431
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 119 SPRING LN, Everett, PA, 15537

Providers at this address

NPI Name Type Specialty Location
1548418593 Ashley Johnson Individual Mental Health Counselor Everett, PA
1003065962 Kara Stefanick Individual Mental Health Counselor Everett, PA
1023250875 Stephen Donnelly Individual Counselor Everett, PA

Verify this record

Cross-check NPI 1811261431 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-04-12. Verify at npiregistry.cms.hhs.gov.
Where is Prodigy Dialysis located?
The practice location on file with NPPES is in Everett, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-04-12.