Individual
JEROME NGANGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29000 CENTER RIDGE RD, ST JOHN WEST SHORE HOSPITAL, WESTLAKE, OH 44145-5293
(440) 835-8000
Mailing address
30680 BAINBRIDGE RD, NORTHEAST OHIO GROUP PRACTICE, CLEVELAND, OH 44139-2282
(440) 542-5023
(440) 542-5029
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35073902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141588
—
OH
Enumeration date
09/14/2005
Last updated
07/13/2026
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