ORTHOUNITED, INC.

Provider Demographics

• NPI: 1649236142
• Name: ORTHOUNITED, INC.
• Entity Type: Organization
• Organization Name: ORTHOUNITED, INC.
• Other - Org Name: SPECTRUM ORTHOPAEDICS
• Other - Org Type: Former Legal Business Name
• Authorized Official - Title/Position: CHIEF OPERATING OFFICER
• Authorized Official - First Name: FRED
• Authorized Official - Last Name: LUECKE
• Authorized Official - Phone: 330-492-9200
• Mailing Address - Street 1: 7442 FRANK AVENUE NW
• Mailing Address - City: NORTH CANTON
• Mailing Address - State: OH
• Mailing Address - Zip Code: 44720
• Mailing Address - Country: US
• Mailing Address - Phone: 330-305-0838
• Mailing Address - Fax: 330-305-0461
• Practice Address - Street 1: 7442 FRANK AVENUE NW
• Practice Address - City: NORTH CANTON
• Practice Address - State: OH
• Practice Address - Zip Code: 44720
• Practice Address - Country: US
• Practice Address - Phone: 330-305-0838
• Practice Address - Fax: 330-305-0461
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-04-24
• Last Update Date: 2023-10-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery		Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	207XS0106X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery	Hand Surgery	Group - Multi-Specialty
No	207XS0117X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	Group - Multi-Specialty
No	207XX0005X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery	Sports Medicine	Group - Multi-Specialty
No	207XX0801X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery	Orthopaedic Trauma	Group - Multi-Specialty
No	208100000X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation		Group - Multi-Specialty
No	213ES0103X	Podiatric Medicine & Surgery Service Providers	Podiatrist	Foot & Ankle Surgery	Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Medical	Group - Multi-Specialty
No	363AS0400X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Surgical	Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
OH	0418631	Medicaid
OH	SP9272851	Medicare PIN
OH	0418631	Medicaid
OH	9272851	Medicare PIN