NPIMap

Organization Active NPI

Nabil Guirguis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bridgeport, WV
National Provider Identifier
1588747166
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NABIL GUIRGUIS
Practice address
166 Thompson Dr
Suite B
Bridgeport, WV 26330-1644
Phone
(304) 842-5668
Fax
(304) 842-3113
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Amal M Guirguis, MBBCH
Title
Managing Employee
Phone
(304) 629-9399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X WV Primary

Addresses

Primary practice location

166 Thompson Dr
Suite B
Bridgeport, WV 26330-1644

Mailing address

166 Thompson Dr
Suite B
Bridgeport, WV 26330-1644
Phone (304) 842-5668

Other identifiers 1

IdentifierTypeStateIssuer
001934214OtherWVBLUE CROSS

Other names 1

  • Kidney Dialysis & Transplant Group Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1588747166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 THOMPSON DR",
            "address_2": "SUITE B",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301644",
            "telephone_number": "304-842-5668",
            "fax_number": "304-842-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 THOMPSON DR",
            "address_2": "SUITE B",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301644",
            "telephone_number": "304-842-5668",
            "fax_number": "304-842-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIL GUIRGUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "304-629-9399",
        "authorized_official_credential": "MBBCH"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001934214",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Dialysis & Transplant Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 1, 2011; 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.