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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
Where is Prodigy Dialysis located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-04-12.