Mod-Doc Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MOD-DOC INC

Practice address

1188 W Sportsplex Dr Ste 102
Kaysville, UT 84037-6816

Phone

(801) 449-9229

Fax

(385) 325-6055

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Jeff Midgley

Title

Owner / President

Phone

(801) 449-9229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandi Cox, NP

  • Family Nurse Practitioner
  • Ogden, UT
  • NPI 1467184564
  Medicare reassignment NPD
• Donald R Hastie, BC-FNP

  • Family Nurse Practitioner
  • West Jordan, UT
  • NPI 1619900339
  Medicare reassignment NPD
• Brynn Jenkins Jorgensen, FNP-BC

  • Family Nurse Practitioner
  • Sandy, UT
  • NPI 1093579740
  NPD
• Jeffrey E Midgley, LAB

  • Clinical Laboratory Director (Non-physician)
  • Kaysville, UT
  • NPI 1023612868
  NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1801627096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 W SPORTSPLEX DR STE 102",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376816",
            "telephone_number": "801-449-9229",
            "fax_number": "385-325-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 W SPORTSPLEX DR STE 102",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376816",
            "telephone_number": "801-449-9229",
            "fax_number": "385-325-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOD-DOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MIDGLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "801-449-9229"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Midgley, LAB
• Blake Henry Miles, FNP
• Mark T. Miller, D.D.S.
• Camille Thea Miskin, LCSW
• Erin Mitchell, PHARMD
• Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC
• Nataliya Moon, NBC-HWC
• Christopher Tyler Morgan, DDS
• Kyle S Morgan, DDS
• Rebecca Morrill Larkin, NP

• Primary Care Nurse Practitioner in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.