Kevin M Spicer, LP, CP, COA

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

LP.00116 Issued in OH

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

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spicer Orthopedics, LLC

  • Prosthetic/Orthotic Supplier
  • Bolivar, OH
  • NPI 1073077590

  Prosthetist

  NPD Authorized official

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1376007849",
    "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": {
        "last_name": "SPICER",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "LP, CP, COA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "LP.00116",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": "COA00304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Ritchie
• Victoria Robb
• Kellie Rufener
• Marybeth Smith, APN, FNP-C
• Spicer Orthopedics, LLC
• Jaden Terrell Steel, DC
• The Tamarkin Company (Giant Eagle Pharmacy #4016)
• Cody Zachary Thompson
• Erin E Weber Carrick, PC
• Nathan S Wendell, L.AC.

• Prosthetist in Bolivar, OH
• Providers in Bolivar, OH by specialty
• Prosthetist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.