Prodigy Healthcare Services Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRODIGY HEALTHCARE SERVICES INC.

Practice address

4801 Hargrove Road
Suite 12
Raleigh, NC 27616-1949

Phone

(919) 264-9769

Fax

(919) 341-5838

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kelechi C Uwakwe, R.N.

Title

President/Ceo

Phone

(919) 264-9769

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1699722272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HARGROVE ROAD",
            "address_2": "SUITE 12",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161949",
            "telephone_number": "919-264-9769",
            "fax_number": "919-341-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HARGROVE ROAD",
            "address_2": "SUITE 12",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276161949",
            "telephone_number": "919-264-9769",
            "fax_number": "919-341-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "UWAKWE",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-264-9769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Prober
• Cheryl Proctor, F.N.P.
• Jacob Lee Proctor, PT
• Leah Ann Proctor, PHARMD
• Prodigy Health and Wellness PLLC (Prodigy Health & Wellness PLLC)
• Karyn Lena Proeschel
• Kris Elisabeth Proeschel, RPAC
• Professional Counseling Associates of Cary
• Professional Group Living, LLC
• Professional Group Living,LLC

• Durable Medical Equipment & Medical Supplies in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.