Organization Active NPI

Dr. James Bangayan Foot & Ankle Specialty Inc.

  • Durable Medical Equipment & Medical Supplies
  • Euclid, OH
National Provider Identifier
1104223775
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
36003437 Issued in OH
Legal business name
DR. JAMES BANGAYAN FOOT & ANKLE SPECIALTY INC.
Practice address
1 Bliss LN
Euclid, OH 44123-1703
Phone
(216) 780-0136
Fax
(440) 842-6797
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Dr. James Bangayan, DPMNPI 1477569051
Title
Owner
Phone
(440) 842-6781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 36003437 OH Primary

Addresses

Primary practice location

1 Bliss LN
Euclid, OH 44123-1703

Mailing address

6681 Ridge Rd
Suite 305
Parma, OH 44129-5713
Phone (440) 842-6781

Other identifiers 1

IdentifierTypeStateIssuer
3143208MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Dr James Bangayan Foot an2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1 Bliss Ln
Euclid, OH 44123
Phone (216) 780-0136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1104223775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "SUITE 305",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-6781",
            "fax_number": "440-842-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLISS LN",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231703",
            "telephone_number": "216-780-0136",
            "fax_number": "440-842-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES BANGAYAN FOOT & ANKLE SPECIALTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "BANGAYAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-842-6781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36003437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.