Jason Norbert Suppan in Fairfield - Podiatrist
Jason Norbert Suppan - NPI 1528059391
Jason Norbert Suppan is a Podiatrist in Fairfield, Ohio. Jason Norbert Suppan practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jason Norbert Suppan is 1528059391. The last update date is 2020-08-26.
Jason Norbert Suppan's current location address is 6200 Pleasant Ave Ste 3, Fairfield, Ohio. You can contact this provider via phone number 3306826070 and fax number 3306842822. The mailing address for Jason Norbert Suppan is 6200 Pleasant Ave Ste 3, Fairfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Norbert Suppan |
|---|---|
| Address | 6200 Pleasant Ave Ste 3, Fairfield, Ohio |
| Phone Number | 3306826070 |
| Fax Number | 3306842822 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1528059391 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2020-08-26 |
Provider Mailing Address Detail
| Address | 6200 Pleasant Ave Ste 3 |
|---|---|
| City | Fairfield |
| State | Ohio (OH) |
| Post Code | 450144671 |
| Phone Number | 3306826070 |
| Fax Number | 3306842822 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 36-00-3017-S |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1528059391 | OH | NPI | |
| 2012842 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jason Norbert Suppan by the Centers for Medicare & Medicaid Services?
The Jason Norbert Suppan has been assigned the NPI (National Provider Identifier) 1528059391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jason Norbert Suppan is geographically located?
The Jason Norbert Suppan is physically situated at the following location: 6200 Pleasant Ave Ste 3, Fairfield, OH, 450144671.
What is Jason Norbert Suppan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Norbert Suppan is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528059391 to Jason Norbert Suppan?
The Jason Norbert Suppan received its 1528059391 assignment from the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the information regarding Jason Norbert Suppan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Norbert Suppan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-26.