MARK L MODIC MD
NPI 1336148022
Internal Medicine - Gastroenterology in Middleburg Heights, OH

Q: What is Mark Modic's NPI number?

The NPI number for Mark Modic is 1336148022. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is Mark Modic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Mark Modic was last updated on October 4, 2012. 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.

Active since July 15, 2005

7255 OLD OAK BLVD, SUITE C412, MIDDLEBURG HEIGHTS, OH 44130(440) 816-4546(440) 816-4549 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark L Modic Md NPPES

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

MARK L MODIC MD (NPI 1336148022) is an individual gastroenterology provider in Middleburg Heights, Ohio, licensed in Ohio (049287) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1336148022

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMARK L MODICCredential: MD

Location Address7255 OLD OAK BLVD, SUITE C412Middleburg Heights, OH 44130-3329

Mailing Address7255 Old Oak Blvd, Suite C412Middleburg Heights, OH 44130-3329 · (440) 816-4546 · Fax (440) 816-4549

Phone(440) 816-4546

Fax(440) 816-4549

Sole ProprietorNo

Enumeration DateJuly 15, 2005

Last NPPES UpdateOctober 4, 2012

✔ NPI 1336148022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 049287

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

7255 OLD OAK BLVD, Middleburg Heights, OH 44130

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Other Identifiers 3

Medicaid0660931OH

Medicare ID-Type Unspecified0634941

Medicare UPINE59731

Other Providers at the Same Location NPPES 20

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

SURESH KUMAR MAHAJAN M.D.

Internal Medicine (Gastroenterology)

7255 OLD OAK BLVD, C101
CLEVELAND, OH 44130

Cuyahoga County (440) 816-2789

MARY K PALLOTTA CNP, MSN

Nurse Practitioner (Primary Care)

7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 816-2525

MR. SUNIL C KANSAL MD

Internal Medicine

7255 OLD OAK BLVD, C 302
MIDDLEBURG HTS, OH 44130

Cuyahoga County (440) 243-1616

MR. DENNIS J CIGANY LPT

Physical Therapist

7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130

Cuyahoga County (440) 816-5380

OHIO CHEST PHYSICIANS LTD

Internal Medicine (Pulmonary Disease)

7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 826-3030

MR. KEVIN JOHN POWERS PT

Physical Therapist

7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130

Cuyahoga County (440) 816-5380

TRILOK SHARMA MD

Internal Medicine (Cardiovascular Disease)

7255 OLD OAK BLVD, C208
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 816-2708

KIMBERLY KRAUS MD

Obstetrics & Gynecology

7255 OLD OAK BLVD, SUITE C 112
MIDDLEBURG HEIGHTS, OH 44130

Cuyahoga County (440) 816-5333

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 Mark Modic's NPI number?

The NPI number for Mark Modic is 1336148022. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Mark Modic located?

Mark Modic practices at 7255 Old Oak Blvd Suite C412, Middleburg Heights, OH 44130. The listed phone number is (440) 816-4546.

What is Mark Modic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Mark Modic was last updated on October 4, 2012. 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.