Active NPI
Nabil Guirguis
Doing business as The Kidney Center Gentle Dialysis Center
- Exclusive Provider Organization
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- NABIL GUIRGUIS
- Doing business as
- The Kidney Center Gentle Dialysis Center
- Practice address
- 166 Thompson Drive
Bridgeport, WV 26330 - Phone
- (304) 842-6001
- Fax
- (304) 842-3113
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nabil G Guirguis, MD
- Title
- MD Executive
- Phone
- (304) 842-6001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
166 Thompson Drive
Bridgeport, WV 26330
Mailing address
166 Thompson Drive
Bridgeport, WV 26330
Phone (304) 842-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000048 | Medicaid | WV |
Other names 1
- The Kidney Center Gentle Dialysis Center
National Provider Directory
National Provider Directory- Tax ID family
- Gentle Dialysis Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kidney Dialysis And Transplant Group Lab
- Clinical Medical Laboratory
- Bridgeport, WV
- NPI 1174558589
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bridgeport, WV
- NPI 1588747166
Locations
L 2648
Columbus, OH 43260
200 Route 98 W St
Ste 109
Nutter Fort, WV 26301
Phone (304) 626-3862
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Bridgeport, WV
- NPI 1306928734
-
- Registered Dietitian
- Bridgeport, WV
- NPI 1801830237
-
- Registered Dietitian
- Clarksburg, WV
- NPI 1447497334
-
- Internal Medicine Physician
- Stafford, VA
- NPI 1386786002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1497786594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 THOMPSON DRIVE",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-842-6001",
"fax_number": "304-842-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 THOMPSON DRIVE",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-842-6001",
"fax_number": "304-842-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NABIL GUIRGUIS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "GUIRGUIS",
"authorized_official_first_name": "NABIL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MD EXECUTIVE",
"authorized_official_telephone_number": "304-842-6001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000048",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Kidney Center Gentle Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 23, 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.