Doctor profile · Federal record
Dr. Simeon Wall, MD, FACS
Plastic and Reconstructive Surgery Physician · Shreveport, LA
- NPI 1275522682
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8600 Fern Ave
Shreveport, LA 711055639
(318) 795-0801
fax (318) 795-9492
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- April 10, 2014
- Specialty taxonomy
- 2086S0122X — NUCC code
- State license (1)
- Louisiana #14159R
- Medicaid
- LA #1184292
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275522682. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$3,870
Transactions
11
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Motiva USA, LLC | 4 | $3,287.45 | |
| Revance Therapeutics, INC. | 4 | $297.80 | |
| Abbvie INC. | 3 | $285.10 |
By nature of payment
Frequently asked questions
What is Dr. Simeon Wall's medical specialty?
Dr. Simeon Wall practices Plastic and Reconstructive Surgery Physician in Shreveport, LA.
Where does Dr. Simeon Wall practice?
Dr. Simeon Wall practices at 8600 Fern Ave, Shreveport, LA 711055639. Office phone: 3187950801.
What is Dr. Simeon Wall's NPI?
Dr. Simeon Wall's National Provider Identifier (NPI) is 1275522682, issued by NPPES.