# DR JAMES BANGAYAN FOOT & ANKLE SPECIALTY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720306194
- **Authorized official:** KERRY C MADEJ (MANAGER)
- **Authorized official phone:** (440) 842-6781

## Contact information

- **Practice address:** 6681 RIDGE RD, SUITE 305, PARMA, OH 44129-5713
- **Practice address phone:** (440) 842-6781
- **Practice address fax:** (440) 842-6797
- **Mailing address:** 6681 RIDGE RD, SUITE 305, PARMA, OH 44129-5713
- **Mailing address phone:** (440) 842-6781
- **Mailing address fax:** (440) 842-6797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003437 | OH | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 11/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3143208 | — | OH |