Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy David Moll, MD

Individual provider Pediatrics Physician · NPI 1538282942

Jeremy David Moll, MD is a Pediatrics Physician in Scott AFB, Illinois. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

310 W Losey St
Scott AFB, IL 62225-5250
Phone: (618) 256-7827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01063842A (IN)

Record details

NPI number1538282942
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address4979 Odell St, Saint Louis, MO 63139-1009

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