DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. TIMOTHY W JENNINGS D.O.

MEDICARE: DR. TIMOTHY W JENNINGS D.O.
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
1207Q00000XFamily Medicine PhysicianMOR6N64MO
2207Q00000XFamily Medicine PhysicianR6N64MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00035725OTHERMORAILROAD MEDICARE

General Provider Information

NPI Number : 1548233455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY W JENNINGS D.O.
Provider Business Mailing Address
First Line : PO BOX 955534
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-5534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2024 DORSETT VLG
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-2208
Country : US
Telephone Number : 314-590-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 10/22/2020

Similar Medicare Providers

1619940277 — DR. MATTHEW MIRIANI D.O.
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1174597629 — DR. FREDRIC A PRATER D.O.
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1760456743 — SSM DEPAUL MEDICAL GROUP, INC.
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax: 314-590-0560
1821031774 — LEONARD G LUCAS DO
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax: 314-590-0560
1083724272 — DR. SHEERIN BADRI STURM DO
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1871653014 — MISSOURI CVS PHARMACY, L.L.C.
Practice Location Address:
2030 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-434-5496
Practice Fax: 314-434-7935

Directions to “ DR. TIMOTHY W JENNINGS D.O.” 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.