Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB WAYNE MOSS, M.D., J.D.
ActiveMR. JACOB WAYNE MOSS, M.D., J.D. is a General Practice healthcare provider located in SAINT ANTHONY, Idaho. NPI 1205179751 is currently active in the NPPES registry. Verify at CMS.
General Practice · SAINT ANTHONY, ID
Registration Details
- NPI Number
- 1205179751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2013 (13.340332215257 yrs)
- Last Updated
- Oct 15, 2025
- Licenses
-
M-14547 (ID)TM190 (GA)
Practice Information
- Address
-
335 E MAIN ST STE 1SAINT ANTHONY, ID, 834451546Browse ID providers · Browse ZIP 83445
- Phone
- 2083564900
- Fax
- 2086244116
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in SAINT ANTHONY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN J. CHEYNE | M.D. | 1346391513 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.