MEDICARE: MORGAN ROSE WILT TIMM MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1487587085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN ROSE WILT TIMM MD, PHD

Provider Business Mailing Address
First Line	:	4901 FOREST PARK AVE STE 710
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1495
Country	:	US
Telephone Number	:	314-362-4211
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 FOREST PARK AVE STE 710
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1495
Country	:	US
Telephone Number	:	314-362-4211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1861325425 — ANDREA DARCY O'RIORDAN
Practice Location Address:

4901 FOREST PARK AVE STE 710
SAINT LOUIS, MO
63108-1495

Practice Phone: 314-362-4211
Practice Fax:

1700889516 — DR. ANTHONY OMAVUAYE ODIBO MD
Practice Location Address:

4901 FOREST PARK AVE , DIV OBGYN MFM AND US, STE 710
SAINT LOUIS, MO
63108-1495

Practice Phone: 314-454-8181
Practice Fax: 314-747-1429

1528062411 — DR. RAJENDRA SHRIDHAR APTE MD
Practice Location Address:

4901 FOREST PARK AVE , DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
63108-1495

Practice Phone: 314-362-3937
Practice Fax: 314-362-3725

1417959115 — DR. PRABAKAR KUMAR RAO MD
Practice Location Address:

4901 FOREST PARK AVE , DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO
63108-1495

Practice Phone: 314-362-3937
Practice Fax: 314-362-3725

1700872611 — MR. JERRY M LIDDELL DPM
Practice Location Address:

4901 FOREST PARK AVE , DIV SURG ACCS PODIATRY, STE 420
SAINT LOUIS, MO
63108-1495

Practice Phone: 314-747-4769
Practice Fax: 888-824-2176

1063494987 — MRS. AMIE PANNIER STANLEY CGC
Practice Location Address:

4901 FOREST PARK AVE , DIV OBGYN MFM AND US, STE 710
SAINT LOUIS, MO
63108-1495

Practice Phone: 314-454-8181
Practice Fax: 314-747-1429

Directions to “ MORGAN ROSE WILT TIMM MD, PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.