Dr James Bangayan Foot & Ankle Specialty Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36003437 Issued in OH

Legal business name

DR JAMES BANGAYAN FOOT & ANKLE SPECIALTY INC

Practice address

6681 Ridge Rd
Suite 305
Parma, OH 44129-5713

Phone

(440) 842-6781

Fax

(440) 842-6797

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Kerry C Madej

Title

Manager

Phone

(440) 842-6781

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dr. James Bangayan Foot & Ankle Specialty

  • Durable Medical Equipment & Medical Supplies
  • Lyndhurst, OH
  • NPI 1215345020

  4284820325

  Same PAC ID

Locations

Practitioners 1

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

• James Patrick Bangayan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
  • NPI 1477569051
  Medicare reassignment NPD

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1720306194",
    "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": "6681 RIDGE RD",
            "address_2": "SUITE 305",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-842-6781",
            "fax_number": "440-842-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMES BANGAYAN FOOT & ANKLE SPECIALTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "MADEJ",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-842-6781"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Parma, OH
• Providers in Parma, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.