Raymond Joseph Suppan III, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35.155253 Issued in OH

Practice address

27 St Lawrence Dr Ste 202
Tiffin, OH 44883-8314

Phone

(419) 455-7880

Fax

(419) 448-7881

NPI assigned

Mar 28, 2022

Last updated

Jun 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Obstetrics/Gynecology

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1275283608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR STE 202",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838314",
            "telephone_number": "419-455-7880",
            "fax_number": "419-448-7881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 S Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Willard",
            "state": "OH",
            "postal_code": "448901408",
            "country_code": "US",
            "telephone_number": "419-935-0187",
            "fax_number": "419-935-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458406317",
            "country_code": "US",
            "telephone_number": "419-420-0904",
            "fax_number": "419-420-1893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPPAN",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301512542",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.155253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra M Stultz, QMHS
• Korie Lynn Stump
• Jena R Suffel, DHSC, AT, CSCS
• Jung Joo Suh, MD
• Robert Jay Sullivan
• Tiffany Swartz, NP
• Lynette K Swartzmiller, LPN
• Cassie Taber, CNP
• Cecilia Taylor, MOT, OTR/L
• Meghan Taylor

• Obstetrics & Gynecology Physician in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.