Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUPPAN FOOT AND ANKLE CLINIC INC
Active
Organization
SUPPAN FOOT AND ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NORBERT SUPPAN DPM (PRESIDENT)
(330) 642-6070
Entity
Organization
Contact information
Practice address
1710 PARADISE RD, ORRVILLE, OH 44667-9418
(330) 682-6070
(330) 684-2822
Mailing address
1710 PARADISE RD, ORRVILLE, OH 44667-9418
(330) 682-6070
(330) 684-2822
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512396
—
OH
01
—
1669428991
NPI
OH
Enumeration date
05/26/2006
Last updated
01/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers