Organization Active NPI

Nabil Guirguis

Doing business as The Kidney Center Gentle Dialysis Center

  • Exclusive Provider Organization
  • Bridgeport, WV
National Provider Identifier
1497786594
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810000048MedicaidWV

Other names 1

  • The Kidney Center Gentle Dialysis Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dialysis Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.