Individual Healthcare Provider
Jacob Wayne Moss, M.D., J.D.
Provider's NPPES record last updated: October 15, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1205179751
- Primary Specialty
- General Practice
- Practice Location
- Saint Anthony, Idaho
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:04 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
General Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000X
Provider-Reported License Information
- General Practice (Idaho)
- M-14547
- General Practice (Georgia)
- TM190
Practice Locations
Practice Location
335 E Main St Ste 1
Saint Anthony, Idaho 83445-1546
Phone: (208) 356-4900
Additional Practice Location
3724 Woodking Dr Ste 1
Idaho Falls, Idaho 83404
Phone: (208) 356-4900
Fax: (208) 612-6118
Additional Practice Location
72 S 1st E Ste 101
Rexburg, Idaho 83440-1902
Phone: (208) 356-4900
Fax: (208) 356-3724
Record Information
- Enumeration Date
- April 3, 2013
- Provider's NPPES Record Last Updated
- October 15, 2025
- Certification Date
- October 15, 2025
- NPISignal NPPES Dataset
- August 2026
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