Robert Thomas Modrak, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA000496L Issued in PA

Practice address

1350 Locust St
Mercy Orthopedic Assiciates Suite220
Pittsburgh, PA 15219-4738

Phone

(412) 232-5800

Fax

(412) 232-7351

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Physician Group

  dba DBA Mercy Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
  • NPI 1124055793
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1447235767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DRIVE C",
            "address_2": "VA PITTSBURGH HEALTHCARE SYSTEM",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-688-6603",
            "fax_number": "412-232-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST",
            "address_2": "MERCY ORTHOPEDIC ASSICIATES SUITE220",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-5800",
            "fax_number": "412-232-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODRAK",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002121",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000496L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Mental Health LLC
• Shan Paresh Modi, M.D.
• Alyssa Marie Modic, PHARMD
• Christopher W Modic, MD
• Maxwell Joseph Modrak, M.D.
• David Modranski
• Sujith Modugula, DO
• Jenna Moe, M.A. C.C.C.-SLP
• Keelin Moehl, MD
• Sarah Michele Moehring, PA-C

• Medical Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.