Prodigy Office Anesthesia, LLC
NPI 1639950140 · Certified Registered Nurse Anesthetist · Corbin, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prodigy Office Anesthesia, LLC is a Certified Registered Nurse Anesthetist organization in Corbin, KY (NPI 1639950140).
Provider details
- NPI number
- 1639950140
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Benjamin Small, Organizer(304) 741-4957
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Prodigy Office Anesthesia, LLC's NPI number?
- Prodigy Office Anesthesia, LLC's National Provider Identifier (NPI) is 1639950140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prodigy Office Anesthesia, LLC?
- Prodigy Office Anesthesia, LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prodigy Office Anesthesia, LLC located?
- Prodigy Office Anesthesia, LLC's practice location on file with NPPES is 1710 Cumberland Falls Hwy, Corbin, KY 40701-2727.
- What is Prodigy Office Anesthesia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prodigy Office Anesthesia, LLC is (606) 528-6700.
- Does Prodigy Office Anesthesia, LLC accept Medicare?
- Prodigy Office Anesthesia, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prodigy Office Anesthesia, LLC?
- The authorized official listed on Prodigy Office Anesthesia, LLC's NPPES record is Benjamin Small, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prodigy Office Anesthesia, LLC's NPI active?
- Yes — Prodigy Office Anesthesia, LLC's NPI (1639950140) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.