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

Samuel James Moll, PA

Individual provider Physician Assistant · NPI 1295554731

Samuel James Moll, PA is a Physician Assistant in Saint Louis, Missouri. Graduated from St Louis College of Physicians and Surgeons in 2022, 4 years ago. Practices with St Lukes Medical Group, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
St Louis College of Physicians and Surgeons
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2325 Dougherty Ferry Rd Ste 100
Saint Louis, MO 63122-3356
Phone: (618) 401-9856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1295554731
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2022 (4 years in practice)
Group practice St Lukes Medical Group — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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