Walter G Holloman Jr, MD - Radiology in St Louis, MO

Walter G Holloman Jr, MD is a Radiology - Diagnostic Radiology physician based in St Louis, Missouri. Walter G Holloman Jr is licensed to practice in Missouri (license number R6596) and his current practice location is 3015 N New Ballas Rd, St Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 996-5180.

NPI number for Walter G Holloman Jr is 1942383914 and his current mailing address is 55 Westport Plz, Suite 300, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942383914.

Contact Information

Walter G Holloman Jr, MD
3015 N New Ballas Rd,
St Louis, MO 63131
(314) 996-5180
(314) 821-2180



Physician's Profile

Full NameWalter G Holloman Jr
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location3015 N New Ballas Rd, St Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942383914
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 03/18/2009

Medical Identifiers

Medical identifiers for Walter G Holloman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942383914NPI-NPPES
135370OtherH LINK
A12402OtherGATE WAY
002013128OtherCARE
1600226OtherPH PLAN
6167OtherMCARE USA
2781OtherGHP
27600OtherBLUE CHOICE
300066998OtherRR CARE
017012444OtherMO CARE
04802710571OtherIL CAID
201047818OtherMO CAID
201047818OtherMC MCAID
431725842MIDOtherMERCY
002013128OtherMO CARE
017012444OtherCARE
398023OtherHLT PART
0090000352OtherIL BLUE
1390OtherMO BLUE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology R6596 (Missouri)Primary
2085R0202XRadiology - Diagnostic Radiology 036061640 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter G Holloman Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Walter G Holloman Jr, MD
55 Westport Plz, Suite 300,
Saint Louis, MO 63146-3109

Ph: (314) 548-4772
Walter G Holloman Jr, MD
3015 N New Ballas Rd,
St Louis, MO 63131

Ph: (314) 996-5180

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Radiology Doctors in St Louis, MO

John A Merkle, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 774 N New Ballas Rd, St Louis, MO 63141
Phone: 314-567-1656    Fax: 314-567-0622
Humberto M Fagundes, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131
Phone: 314-996-5180    Fax: 314-821-2180
Bruce J Walz, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 3635 Vista, St Louis, MO 63110
Phone: 314-577-8815    Fax: 314-268-5106
Jenny Lynne Shaffer, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10010 Kennerly Road, Attn Cancer Care Center, St Louis, MO 63128
Phone: 314-525-1688    Fax: 314-525-1689
John H Niemeyer, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131
Phone: 314-996-5180    Fax: 314-821-2180
Ustun Aydingoz, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3635 Vista, St Louis, MO 63110
Phone: 314-268-5783    Fax: 314-268-5116
Amy A Mosher, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131
Phone: 314-966-5180    Fax: 314-821-2180

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