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Simeon H. Wall, MD A Professional Medical Corp

NPI 1992059968ActiveOrganization· Plastic Surgery· Shreveport, LA

Plastic Surgery in Shreveport, Louisiana, registered in NPPES in October 2012. The authorized official on file is Simeon Heninger Wall, M.D., Owner.

Overview

NPI1992059968
StatusActive
Entity typeOrganization
NPI issuedOct 30, 2012
Last updated in NPPESOct 30, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X02970RLA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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