Nabil A Gayed, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01032592A Issued in IN

Practice address

2810 Theater Ave
Huntington, IN 46750-7978

Phone

(260) 358-0053

Fax

(260) 358-0054

NPI assigned

Aug 24, 2005

Reactivated

Apr 13, 2006

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1255324455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E DUPONT RD",
            "address_2": "SUITE 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251545",
            "telephone_number": "260-373-9700",
            "fax_number": "260-373-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 THEATER AVE",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467507978",
            "telephone_number": "260-358-0053",
            "fax_number": "260-358-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYED",
        "first_name": "NABIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-03-26",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01032592A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00717119",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000610872",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138130V",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Frazier, MA
• Fresenius Medical Care Fort Wayne, LLC (Fresenius Medical Care Huntington)
• Alexandria Froehlke
• Krystel Gainor
• Custodio A. Garrido, M.D.
• Vickie Jean Gayed, NP
• Tim Gebreyes
• Stephen F Geders, D.C.
• Genoa Healthcare LLC
• Mary Gilliam, MSW, LSW

• Specialist in Huntington, IN
• Providers in Huntington, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.