Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Ellis Moseley Jr., MD

Individual provider Internal Medicine Physician · NPI 1558438887

Dr. Jack Ellis Moseley Jr., MD is an Internal Medicine Physician in Enid, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2600 E Willow Rd Northern Oklahoma Resource Ctr
Enid, OK 73701-8715
Phone: (580) 213-2700
Fax: (580) 548-2647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20477 (OK)
Pediatrics Physician Taxonomy 208000000X · Licence 20477 (OK)

Record details

NPI number1558438887
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESAugust 26, 2009

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