Organization Active NPI

Suppan Foot and Ankle Clinic Inc

  • Foot & Ankle Surgery Podiatrist
  • Orrville, OH
National Provider Identifier
1669428991
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SUPPAN FOOT AND ANKLE CLINIC INC
Practice address
1710 Paradise Rd
Orrville, OH 44667-9418
Phone
(330) 682-6070
Fax
(330) 684-2822
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Jason Norbert Suppan, DPMNPI 1528059391
Title
President
Phone
(330) 642-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1710 Paradise Rd
Orrville, OH 44667-9418

Mailing address

1710 Paradise Rd
Orrville, OH 44667-9418
Phone (330) 682-6070

Other identifiers 2

IdentifierTypeStateIssuer
0512396MedicaidOH
1669428991OtherOHNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040604000265 OH Part B Supplier - Clinic/Group Practice 6305828153 Receives reassigned benefits from 1 practitioner
Practice locations: Orrville, OH
O20100930025443 OH DME Supplier - Physician - PodiatryDME Supplier - Certified Orth/Pros/Pedorthist 6305828153 Practice locations: Orrville, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Suppan Foot & Ankle Clinic Inc1710 Paradise Rd, Orrville, OH 44667-9418(330) 682-6070 Contracture Treatment Devices: Dynamic Splint|Heat & Cold Applications|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabet… Accepts assignmentParticipating since Jan 1, 1994

National Provider Directory

National Provider Directory

Locations

1710 Paradise Rd
Orrville, OH 44667
Phone (330) 682-6070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1669428991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PARADISE RD",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446679418",
            "telephone_number": "330-682-6070",
            "fax_number": "330-684-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PARADISE RD",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446679418",
            "telephone_number": "330-682-6070",
            "fax_number": "330-684-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPAN FOOT AND ANKLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "SUPPAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "NORBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-642-6070",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512396",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669428991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orrville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.