NPI 1558438887
Jack Ellis Moseley Jr., M.D.
Internal Medicine · Enid, OK
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:45 am EDT
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Jack Ellis Moseley Jr., M.D. is a health care provider (Internal Medicine) in Enid, Oklahoma with National Provider Identifier (NPI) 1558438887. The NPI was issued on Nov 30, 2006 and the registry record was last updated on Aug 26, 2009. The registry lists 2 licenses in Oklahoma.
Registry record
- NPI
- 1558438887
- Type
- Individual (NPI-1)
- Primary specialty
- Internal Medicine 207R00000X
- Practice location
- 2600 E Willow Rd, Northern Oklahoma Resource Center
Enid, OK 73701-8715 - Phone
- (580) 213-2700
- NPI issued
- Nov 30, 2006
- Registry record updated
- Aug 26, 2009
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | Oklahoma | 20477 |
| Pediatrics | 208000000X | Oklahoma | 20477 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.