ROBERT J NICKODEM JR. M.D.
NPI 1790707966
Orthopaedic Surgery in Mentor, OH

Active since July 24, 2006
7060 WAYSIDE DR, MTR1/-102, MENTOR, OH 44060(440) 357-2770(440) 354-4669 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Robert J Nickodem Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J NICKODEM JR. M.D. (NPI 1790707966) is an individual orthopaedic surgery provider in Mentor, Ohio, licensed in Ohio (35-05-1872-N) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790707966
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT J NICKODEM JR.Credential: M.D.
Location Address7060 WAYSIDE DR, MTR1/-102Mentor, OH 44060-6527
Mailing Address7060 Wayside Dr, Mtr1/-102Mentor, OH 44060-6527 · (440) 357-2770 · Fax (440) 354-4669
Fax(440) 354-4669
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 5, 2013
NPI 1790707966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35-05-1872-N
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
7060 WAYSIDE DR, Mentor, OH 44060

Other Identifiers 3

Medicaid0594110OH
Medicare UPINA16171OH
Medicare ID-Type UnspecifiedNI0571224OH · Medicare Individual #

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
7060 WAYSIDE DR
MENTOR, OH 44060
Nurse Practitioner (Family)
7060 WAYSIDE DR
MENTOR, OH 44060
General Practice
7060 WAYSIDE DR
MENTOR, OH 44060
Physician Assistant (Medical)
7060 WAYSIDE DR
MENTOR, OH 44060
Nurse Practitioner (Family)
7060 WAYSIDE DR
MENTOR, OH 44060
Physician Assistant (Medical)
7060 WAYSIDE DR
MENTOR, OH 44060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Nickodem's NPI number?

The NPI number for Robert Nickodem is 1790707966. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Robert Nickodem located?

Robert Nickodem practices at 7060 Wayside Dr Mtr1/-102, Mentor, OH 44060. The listed phone number is (440) 357-2770.

What is Robert Nickodem's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Robert Nickodem was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.