Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark L Modic, MD

Individual provider Gastroenterology Physician · NPI 1336148022

Mark L Modic, MD is a Gastroenterology Physician in Middleburg Heights, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7255 Old Oak Blvd Ste C412
Middleburg Heights, OH 44130-3329
Phone: (440) 816-4546
Fax: (440) 816-4549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 049287 (OH)

Record details

NPI number1336148022
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2005
Last updated in NPPESOctober 4, 2012
Mailing address7255 Old Oak Blvd, Suite C412, Middleburg Heights, OH 44130-3329

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