IndividualActive
Jimmy Moss, MD
NPI 1275845208 · Critical Care Medicine (Internal Medicine) Physician · Saint Louis, MO
Provider details
- NPI number
- 1275845208
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2020009346 (MO)
Practice location
12634 Olive Blvd
Dept Anesthesiology
Saint Louis, MO 63141-6337
Phone: (800) 862-9980
Fax: (314) 362-1185
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.