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

Jacob Moss Shaner, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1053104208

Jacob Moss Shaner, MD is an Anatomic Pathology & Clinical Pathology Physician in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 245043
Tucson, AZ 85724-5043
Phone: (520) 626-5669
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence R81861 (AZ)

Record details

NPI number1053104208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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