✓ Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine (2083A0100X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

JACOB THEODOOR MOLL, M.D. (NPI #1013071794)

Preventive Medicine, Aerospace Medicine • DANVILLE, VA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1013071794
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2083A0100X (CMS 84)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine
Box 32 Service Location & ZIP+4
723 PINEY FOREST RD, DANVILLE, VA, 24540-2860
✓ 9-Digit EDI 837 ZIP+4 (24540-2860)
Practice Phone & Referral Fax
Fax: (434) 773-6832
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1013071794 (JACOB THEODOOR MOLL, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1013071794 (NPI-1 Individual Practitioner)
Provider / Legal NameJACOB THEODOOR MOLL, M.D.
Plain-English SpecialtyLicensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine
NUCC Code: 2083A0100X (Preventive Medicine, Aerospace Medicine)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address723 PINEY FOREST RD, DANVILLE, VA, 24540-2860
Practice Telephone / FaxTel: (434) 773-6830 | Fax: (434) 773-6832
Administrative Mailing Address570 COUNTRY PLACE RD, AXTON, VA, 24054-2566
Enumeration & Last SyncEnumerated: 2006-12-20 | CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

723 PINEY FOREST RD, DANVILLE, VA, 24540-2860

🗺️ Open in Google Maps 🏥 More Providers in DANVILLE

Plain-English Taxonomy & CMS Crosswalk (2083A0100X)

What Does Taxonomy Code 2083A0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083A0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Aerospace Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACOB THEODOOR MOLL, M.D.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
2083A0100X — Preventive Medicine, Aerospace Medicine
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Aerospace Medicine
State: VA | License: 0101019920 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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