WALTER G. HOLLOMAN, JR. MD – NPI #1942383914
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

WALTER HOLLOMAN, JR. is a radiologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1942383914 to WALTER HOLLOMAN, JR. on October 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on Mar 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALTER HOLLOMAN, JR. below.

NPI Profile for
WALTER G. HOLLOMAN, JR.

NPI Number
1942383914
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALTER G. HOLLOMAN, JR.
Credentials
MD
Primary location
3015 N NEW BALLAS RD
SAINT LOUIS, MO 63131
Phone: (314) 996-5180 Fax: (314) 821-2180
Mailing address
55 WESTPORT PLZ
SUITE 300
SAINT LOUIS, MO 63146-3109
Phone: (314) 548-4772 Fax: (314) 548-4748
Sole Proprietor
No
Updated
Identifiers

Identifiers for WALTER HOLLOMAN, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CHOICE27600
OTHERCARE017012444
OTHERCARE002013128
OTHERGATE WAYA12402
OTHERGHP2781
OTHERH LINK135370
OTHERHLT PART398023
OTHERIL BLUE0090000352
OTHERIL CAID04802710571
OTHERMC MCAID201047818
OTHERMCARE USA6167
OTHERMERCY431725842MID
OTHERMO BLUE1390
OTHERMO CAID201047818
OTHERMO CARE002013128
OTHERMO CARE017012444
OTHERPH PLAN1600226
OTHERRR CARE300066998
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MO R6596

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.