GENTLE DIALYSIS CENTER LLC (NPI# 1538436753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538436753 |
| Entity Type | Organization |
| Organization Name | GENTLE DIALYSIS CENTER LLC |
| Practice Address |
166 Thompson Dr Bridgeport WV 26330-1644 |
| Practice Telephone | 3048425668 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | NABIL GUIRGUIS (MEMBER) |
| Authorized Official Telephone | 3048425668 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
261QE0700X | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810000048 | 05 | |
| WV | MEDICARE ID-TYPE UNSPECIFIED | 4124162 | 01 |
| Street Address |
166 THOMPSON DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801830237 | Norma E Simbra | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-06-15 |
| 1932473055 | Kidney Dialysis & Transplant Group Incorporated | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2012-03-07 |
| 1588747166 | Nabil Guirguis | Clinic/Center | 166 Thompson Dr, Suite B, Bridgeport, WV 26330-1644 | 2006-10-24 |
| 1306928734 | Marilyn K Aday | Internal Medicine | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-10-19 |
| 1609891548 | Tina Edgell | Social Worker | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-13 |
| 1295760668 | Diana Lynne Colassesano | Registered Nurse | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1043245442 | Eddie Allen | Technician, Other | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1992730329 | Marcy Long | Specialist/Technologist, Other | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1174558589 | Nabil Guirguis | Clinical Medical Laboratory | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1578594594 | Geannine Britanak-gulas | Licensed Practical Nurse | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204558 | Blauvelt Dialysis LLC | Clinic/Center | 6302 Dixie Hwy, Bridgeport, MI 48722-9566 | 2017-09-26 |
| 1346400629 | Bio Medical Applications of Michigan Inc | Clinic/Center | 5414 W Rolling Hills Dr, Bridgeport, MI 48722-9668 | 2008-06-11 |
| 1104938927 | Bio-medical Applications of West Virginia Inc | Clinic/Center | 16 Sterling Dr., Bridgeport, WV 26330-9107 | 2006-08-31 |
| 1205396744 | Isd Renal Inc | Clinic/Center | 703 Main St, Bridgeport, OH 43912-1315 | 2019-03-21 |
| 1649671439 | Dialyze Direct Ct LLC | Clinic/Center | 600 Bond St, Bridgeport, CT 06610-2205 | 2014-09-11 |
| 1588747166 | Nabil Guirguis | Clinic/Center | 166 Thompson Dr, Suite B, Bridgeport, WV 26330-1644 | 2006-10-24 |
| 1508831314 | Dva Healthcare Renal Care Inc | Clinic/Center | 900 Madison Ave, Ste 221, Bridgeport, CT 06606-5534 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064471 | Weirton Dialysis Center LLC | Clinic/Center | 100 Colliers Way Ste 1, Weirton, WV 26062-4000 | 2018-05-29 |
| 1265958292 | Fresenius Medical Care Hamlin, LLC | Clinic/Center | 12 Lincoln Plz, Branchland, WV 25506-9773 | 2017-08-22 |
| 1396272332 | Total Renal Care Inc | Clinic/Center | 1 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2017-05-22 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1629517743 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 4 Northridge Dr Ste 116, Buckhannon, WV 26201-8484 | 2017-02-22 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1215389747 | Ravine Dialysis LLC | Clinic/Center | 600 Mcginnis Dr, Wayne, WV 25570 | 2016-07-08 |
| 1689049124 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 927 Foxcroft Ave, Martinsburg, WV 25401-1840 | 2015-12-09 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on GENTLE DIALYSIS CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.