Search › Ohio › 104100000X
Luke Nicodemo
NPI 1457230138 · on the registry since 2025 · sole proprietor
Practice
- Address
- 30 Northwest Ave Ste 120
Tallmadge, OH 44278 - Phone
- (330) 633-4187
- Clinicians at this address
- 57
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 390200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio