Organization Active NPI

James P. Bangayan

  • Podiatrist
  • Parma, OH
National Provider Identifier
1619089802
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3437 Issued in OH
Legal business name
JAMES P. BANGAYAN
Practice address
6681 Ridge Rd
Ste 302
Parma, OH 44129-5713
Phone
(440) 842-6781
Fax
(440) 842-6797
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Ms. Kerry Madej, MA
Title
Office Manager
Phone
(440) 842-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 3437 OH Primary

Addresses

Primary practice location

6681 Ridge Rd
Ste 302
Parma, OH 44129-5713

Mailing address

6681 Ridge Rd
Suite 302
Parma, OH 44129-5713
Phone (440) 842-6781

Other identifiers 1

IdentifierTypeStateIssuer
2686311MedicaidOH

National Provider Directory

National Provider Directory

Locations

4269 Pearl Rd
Ste 302
Cleveland, OH 44109
Phone (216) 741-1828

5 Severance Cir
Ste 804
Cleveland Heights, OH 44118
Phone (216) 382-6501

6681 Ridge Rd
Ste 302
Parma, OH 44129
Phone (440) 842-6781

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1619089802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "SUITE 302",
            "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": "6681 RIDGE RD",
            "address_2": "STE 302",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-6781",
            "fax_number": "440-842-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. BANGAYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MADEJ",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-842-6781",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2686311",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.