Spicer Orthopedics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SPICER ORTHOPEDICS, LLC

Practice address

11237 Fairoaks Rd NE Ste B
Bolivar, OH 44612-8767

Phone

(330) 595-1010

Fax

(330) 595-1051

NPI assigned

Jan 29, 2019

Last updated

Feb 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin M Spicer, LP, CP, COANPI 1376007849

Title

Owner

Phone

(330) 595-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M Spicer, LP, CP, COA

  • Prosthetist
  • Bolivar, OH
  • NPI 1376007849
  NPD Authorized official

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1073077590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11736 STRASBURG BOLIVAR RD NW APT 1",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446128471",
            "telephone_number": "330-904-9156",
            "fax_number": "330-595-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11237 FAIROAKS RD NE STE B",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446128767",
            "telephone_number": "330-595-1010",
            "fax_number": "330-595-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICER ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-595-1010",
        "authorized_official_credential": "LP, CP, COA"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rising Star Home Health Care LLC
• Robert Charles Ritchie
• Victoria Robb
• Kellie Rufener
• Marybeth Smith, APN, FNP-C
• Kevin M Spicer, LP, CP, COA
• Jaden Terrell Steel, DC
• The Tamarkin Company (Giant Eagle Pharmacy #4016)
• Cody Zachary Thompson
• Erin E Weber Carrick, PC

• Prosthetic/Orthotic Supplier in Bolivar, OH
• Providers in Bolivar, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.