JEREMY DAVID MOLL M.D.
NPI 1538282942
Pediatrics in Scott Afb, IL

Q: What is Jeremy Moll's NPI number?

The NPI number for Jeremy Moll is 1538282942. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Jeremy Moll's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Moll was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2007

310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-7827 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeremy David Moll M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY DAVID MOLL M.D. (NPI 1538282942) is an individual pediatrics provider in Scott Afb, Illinois, licensed in Indiana (01063842A) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1538282942

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJEREMY DAVID MOLLCredential: M.D.

Location Address310 W LOSEY STScott Afb, IL 62225-5250

Mailing Address4979 Odell StSaint Louis, MO 63139-1009 · (314) 330-1866

Phone(618) 256-7827

Sole ProprietorYes

Enumeration DateApril 9, 2007

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1538282942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01063842A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

310 W LOSEY ST, Scott Afb, IL 62225

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD ALAN SCHULTZ D.M.D.

Dentist (Oral and Maxillofacial Surgery)

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-7079

DAWN WILSON PT

Physical Therapist

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-6267

MR. SEAN J MCNAMARA RPH.

Pharmacist

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-6150

DR. PATSY FRANCES KREMSREITER MD

Family Medicine

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-9355

JOAN FOMBOH TELAZIE-SIMONS RN

Registered Nurse

310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225

St. Clair County (618) 256-9355

DR. SARAH KATHERINE TURBUSH DDS

Dentist (Prosthodontics)

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-6667

DR. CASEY TIMMERMAN DO

Obstetrics & Gynecology

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-7669

CHRISTINE LEIGH KMIECIK

Social Worker (Clinical)

310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225

St. Clair County (618) 256-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Moll's NPI number?

The NPI number for Jeremy Moll is 1538282942. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Jeremy Moll located?

Jeremy Moll practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-7827.

What is Jeremy Moll's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jeremy Moll was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.