Plastic SurgeryIndex

Simeon H. Wall, MD a Professional Medical Corp

Plastic surgery practice in Shreveport, LA

Registered providerLicense # listed (LA)

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Public-record details

Address
8600 Fern Ave, Shreveport, LA 71105
Phone
(318) 795-0801
Listed under
Practices and organizations
NPI
1992059968
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
License number on NPI record
02970R (LA)
Authorized official
Simeon Wall, MD, Owner
NPI first issued
Oct 30, 2012
NPI record last updated
Oct 30, 2012

NPI 1992059968 is active in the federal NPPES registry (CMS); license 02970R (LA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1992059968 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

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