DR. JOSEPH G WALLER


Address: 1475 Kisker Rd Ste 180, Saint Charles, MO 63304-8786
Phone: 6364427300

DR. JOSEPH G WALLER (NPI# 1376778258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376778258
Entity Type Individual
Full Name DR. JOSEPH G WALLER
Credential M.D., M.P.H.
Practice Address 1475 Kisker Rd Ste 180
Saint Charles
MO 63304-8786
Mailing Address Po Box 955534
Saint Louis
MO 63195-2551
Practice Telephone 6364427300
Enumeration Date 2009-05-21
Last Update Date 2020-10-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
079384 GA Allopathic & Osteopathic Physicians
Y 2085R0001X Radiology
Specialization: Radiation Oncology
2014013923 MO Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
04-37203 KS Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 E 101st Ter, Kansas City, MO 64131 8163331326 8163330086
725 S 8th St, Griffin, GA 302244818 7702283737 7702289334

Other Providers JOSEPH WALLER

NPI Name Taxonomy Address Enumeration
1184021149 Joseph Waller Counselor 5126 Homestead Rd, Pahrump, NV 89048-7535 2014-11-19
1689618852 Joseph R. Waller Physical Therapist E3277 Apple Tree Ln, Waupaca, WI 54981-7580 2006-06-16

Office Location

Street Address 1475 KISKER RD STE 180
City SAINT CHARLES
State MO
Zip Code 63304-8786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710027792 Osama Qubaiah Internal Medicine 1475 Kisker Rd Ste 180, Saint Charles, MO 63304-8786 2007-02-07
1083240857 Kristin Shelbie Callaway Pharmacist 1475 Kisker Rd Ste 180, Saint Charles, MO 63304-8786 2020-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699382127 Susan Brockmeyer Occupational Therapist 600 Breeze View Ln, Weldon Springs, MO 63304 2020-09-29
1235743097 Brett Allan Lancaster Pharmacist 3801 Old Highway 94, St. Peters, MO 63304 2020-08-31
1356834683 Emily Elizabeth Blau Chiropractor 5055 State Highway N, 108, Cottleville, MO 63304 2018-06-12
1033606769 Christina Marie Crain Counselor 501 Chele Dr, Saint Charles, MO 63304 2018-04-18
1063875532 Amy L Ney-carder Speech-Language Pathologist 5199 State Highway N, St. Peters, MO 63304 2016-04-01
1609127745 Lawlor Chiropractic LLC Chiropractor 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 2012-09-28
1043588510 Esther Lima Pharmacist 3801 S Harvester Rd, St Peters, MO 63304 2011-12-12
1922318245 Sonya Paramore Counselor 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 2010-10-20
1871624445 Joylynn Anderson Social Worker 5931 Highway 94 South, Saint Charles, MO 63304 2007-03-08
1821155706 Cynthia Lynn Sitarski Occupational Therapist 4545 Central School Road, St. Charles, MO 63304 2007-01-02
Find all providers in zip 63304

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982638003 Anna Liao Fu Radiology 1475 Kisker Rd, Suite 180, Saint Charles, MO 63304-8781 2006-07-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639778228 Central Care, Pa Radiology 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 2020-10-23
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1518229772 Andrew L Walker Radiology 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 2012-06-13
1568721454 Jason Matthew Edwards Radiology 232 S Woods Mill Rd Ste 110e, Chesterfield, MO 63017 2012-05-11
1649569385 Sagar Chandravadan Patel Radiology 211 Saint Francis Dr Ste 372, Cape Girardeau, MO 63703-5049 2011-04-04
1922326958 Yvonne Thanh-nga D Pham Radiology 6601 Winchester Ave Ste 230, Kansas City, MO 64133-4681 2010-05-14
1811158587 Benjamin Bin Yan Radiology 1111 Kentucky Ave., Omc Cancer Treatment Center, West Plains, MO 65775-2028 2008-06-24
1336338912 Joseph Fields Radiology 9 Heather Hill Ln, Saint Louis, MO 63132-4105 2007-10-18
1205033941 Associates In Tumor Therapy, Chartered Radiology 2801 Clearwater Ct, Joplin, MO 64801-8239 2007-06-27
1700916848 Bethesda Resources Inc Radiology 1124 N Main St, Sikeston, MO 63801-5046 2007-03-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT CHARLES
Zip Code 63304

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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