Individual provider Active NPI

Marilyn K Aday, M.D.

  • Nephrology Physician
  • Bridgeport, WV
National Provider Identifier
1306928734
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5315023853 Issued in MI
Practice address
166 Thompson Dr
Bridgeport, WV 26330-1644
Phone
(304) 842-6001
Fax
(304) 842-3113
NPI assigned
Oct 19, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5315023853 MI Primary

Addresses

Primary practice location

166 Thompson Dr
Bridgeport, WV 26330-1644

Mailing address

166 Thompson Dr
Bridgeport, WV 26330-1644
Phone (304) 842-6001

Other identifiers 1

IdentifierTypeStateIssuer
183839MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18383SCMDClinical Social Worker
5315023853MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine & Infectious Diseases Specialists Past Accepting new patients
Nabil Guirguis Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1306928734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 THOMPSON DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301644",
            "telephone_number": "304-842-6001",
            "fax_number": "304-842-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 THOMPSON DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301644",
            "telephone_number": "304-842-6001",
            "fax_number": "304-842-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAY",
        "first_name": "MARILYN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5315023853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183839",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.