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Simeon H. Wall, MD A Professional Medical Corp

Plastic Surgery Physician in Shreveport, LA · enumerated 2012 · authorized official Simeon Wall, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992059968

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Registry record

Entity type Organization (Type 2)
Legal business name Simeon H. Wall, MD A Professional Medical Corp
Practice address 8600 Fern Ave, Shreveport, LA, 71105
Fax (318) 795-9492
Enumeration date Oct 30, 2012
Last updated in NPPES Oct 30, 2012

Taxonomy & classification

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 02970R (LA) Primary

Authorized official

Name Simeon Wall
Title Owner

Other identifiers

Identifier Type State Issuer
115649 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Simeon H. Wall, MD A Professional Medical Corp located?
The practice location on file with NPPES is in Shreveport, LA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-30. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-30.