Individual
DR. JACK J MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 328-5053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01030758A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082122
ANTHEM-351158723
IN
01
—
000000492363
ANTHEM 203778927
IN
01
—
002938
SIHO-351158723
IN
01
—
060963
HEALTH ALLIANCE-351158723
IN
05
—
100369250
—
IN
01
—
300100709
RR MEDICARE-351158723
IN
01
—
Q0084711
CMOSHO351158723&352047427
IN
Enumeration date
12/13/2005
Last updated
10/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us