Individual
DR. JONATHAN MATTHEW MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6392 EQUESTRIAN TRL, MEDINA, OH 44256-7421
(330) 975-0004
Mailing address
6392 EQUESTRIAN TRL, MEDINA, OH 44256-7421
(330) 975-0004
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.004060
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007269
—
OH
Enumeration date
06/12/2019
Last updated
03/02/2026
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