OrganizationActive
Prodigy Dialysis
NPI 1043393440 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Johnstown, PA
Provider details
- NPI number
- 1043393440
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- George Frem, Medical Director(814) 539-0798
- License
- MD042825E (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Metzler St
Johnstown, PA 15904-3124
Phone: (814) 539-0798
Fax: (814) 536-4751
Street-level locationGet directions
Mailing address
105 Metzler St
Johnstown, PA 15904-3124
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2013-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.