SUPPAN FOOT AND ANKLE CLINIC INC NPI 1669428991

NPI Information

NPI: 1669428991
Provider Name: SUPPAN FOOT AND ANKLE CLINIC INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1710 PARADISE RD
ORRVILLE, OH
ZIP 44667
Phone: (330) 682-6070
Get Directions

SUPPAN FOOT AND ANKLE CLINIC INC is a foot and ankle surgery podiatrist in Orrville, OH. SUPPAN FOOT AND ANKLE CLINIC INC NPI is 1669428991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1710 PARADISE RD
ORRVILLE, OH
ZIP 44667-418
Phone: (330) 682-6070
Fax: (330) 684-2822

The provider's authorized official is Jason Norbert Suppan .
The authorized official title is President and has the following contact phone number (330) 642-6070.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0512396	MEDICAID	OHIO
2	1669428991	OTHER	OHIO	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »