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DR. JACK ELLIS MOSELEY JR. M.D.
NPI 1558438887
Internal Medicine in Enid, OK

Active since November 30, 2006
2600 E WILLOW RD, NORTHERN OKLAHOMA RESOURCE CENTER, ENID, OK 73701(580) 213-2700(580) 548-2647 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack Ellis Moseley Jr. M.d. NPPES

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

DR. JACK ELLIS MOSELEY JR. M.D. (NPI 1558438887) is an individual internal medicine provider in Enid, Oklahoma, licensed in Oklahoma (20477) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1558438887
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACK ELLIS MOSELEY JR.Credential: M.D.
Location Address2600 E WILLOW RD, NORTHERN OKLAHOMA RESOURCE CENTEREnid, OK 73701-8715
Mailing Address2600 E. Willow, Northern Oklahoma Resource CenterEnid, OK 73701-8715 · (580) 213-2700 · Fax (580) 548-2647
Phone(580) 213-2700
Fax(580) 548-2647
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 26, 2009
✔ NPI 1558438887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 20477
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 20477 (OK)
2600 E WILLOW RD, Enid, OK 73701
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Other Identifiers 2

Medicare UPING90142IA
Medicare UPING90142OK

Other Providers at the Same Location NPPES 3

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

CHARLOTTE SUE ROSS DPH
Pharmacist
2600 E WILLOW RD
ENID, OK 73701
Garfield County (580) 548-2627
NORTHERN OKLAHOMA RESOURCE CENTER OF ENID
Intermediate Care Facility, Intellectual Disabilities
2600 E WILLOW RD
ENID, OK 73701
Garfield County (580) 548-2601
NORTHERN OKLAHOMA RESOURCE CENTER OF ENID PHARMACY
Pharmacy (Long Term Care Pharmacy)
2600 E WILLOW RD
ENID, OK 73701
Garfield County (580) 237-1027

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 Jack Moseley's NPI number?

The NPI number for Jack Moseley is 1558438887. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jack Moseley located?

Jack Moseley practices at 2600 E Willow Rd Northern Oklahoma Resource Center, Enid, OK 73701. The listed phone number is (580) 213-2700.

What is Jack Moseley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jack Moseley was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.