DR. JACOB THEODOOR MOLL (NPI# 1013071794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013071794 |
| Entity Type | Individual |
| Full Name | DR. JACOB THEODOOR MOLL |
| Credential | M.D. |
| Practice Address |
723 Piney Forest Rd Danville VA 24540-2860 |
| Mailing Address |
570 Country Place Rd Axton VA 24054-2566 |
| Practice Telephone | 4347736830 |
| Practice Fax Number | 4347736832 |
| Mailing Telephone | 2766665908 |
| Mailing Fax Number | 2766665908 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101019920 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942493234 | Jacob Paul Moll | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 | 2007-08-21 |
| Street Address |
723 PINEY FOREST RD |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831147107 | Valerie A White | Nurse Practitioner | 723 Piney Forest Rd, Danville, VA 24540-2860 | 2006-05-05 |
| 1255595104 | Peace of Mind Therapies, LLC | Psychologist | 723 Piney Forest Rd, Danville, VA 24540-2860 | 2008-07-10 |
| 1407053945 | Theophilus Afolabi Oyelayo | Preventive Medicine | 723 Piney Forest Rd, Danville, VA 24540-2860 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925307 | Susan Hanley Tilton | Preventive Medicine | 1855 Stratford Park Pl Apt 413, Reston, VA 20190-3355 | 2020-06-02 |
| 1336605641 | Arnauld T Nicogossian | Preventive Medicine | 9215 Bayard Pl, Fairfax, VA 22032-2103 | 2019-02-12 |
| 1477079754 | Richard Stuart Williams | Preventive Medicine | 81 Flight Line Dr, Fredericksburg, VA 22405-1437 | 2017-08-17 |
| 1861741662 | Leroy Patrick Gross | Preventive Medicine | 2 Eaton St, Suite 908, Hampton, VA 23669-4054 | 2012-09-07 |
| 1275839573 | Russell Barry Rayman | Preventive Medicine | 8710 Linton Lane, Alexandria, VA 22308 | 2011-02-03 |
| 1023336799 | Arne Hasselquist | Preventive Medicine | 100 State Park Dr, Hampton, VA 23664-1965 | 2010-05-05 |
| 1659696078 | Huberto Isaac Ramos | Preventive Medicine | 2136 Hickory Forest Dr, Chesapeake, VA 23322-1758 | 2010-03-29 |
| 1649407222 | Peter F Demitry | Preventive Medicine | 3700 Drake Ln, Haymarket, VA 20169-2477 | 2009-06-22 |
| 1346312501 | Edward H Chin | Preventive Medicine | 25755 Tullow Pl, Chantilly, VA 20152-2572 | 2006-11-14 |
| 1407940729 | William Patrick Butler | Preventive Medicine | 732 Okuma Dr, Chester, VA 23836-5711 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.