Forrest Wall


Address: 385 Bert Kouns Industrial Loop, Suite 100, Shreveport, LA 71106-8159
Phone: 3182211629

Forrest Wall (NPI# 1699758474, PAC ID# 3476577172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1699758474
PAC ID by PECOS 3476577172
Professional Enrollment ID I20071112000574
Full Name Forrest Wall
Address 385 Bert Kouns Industrial Loop
Suite 100
Shreveport
LA 71106-8159
Phone Number 3182211629
Gender M
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1992
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190111 WILLIS KNIGHTON MEDICAL CENTER

Other Locations

Address Phone Organization
385 Bert Kouns Industrial Loop, Suite 100, Shreveport, LA 71106-8159 3182211629

Organization Information

Office Location

Street Address 385 BERT KOUNS INDUSTRIAL LOOP
SUITE 100
City SHREVEPORT
State LA
Zip 71106-8159

Physicians in the same location

Name Specialty Organization Address
Sei Jei Chen Anesthesiology Osc Anesthesia LLC 385 Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71106-8158
Scott Cassingham Anesthesiology Osc Anesthesia LLC 385 Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71106-8158
Chere H Johnson Physical Therapy 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158
Michelle R Ritter Hand Surgery 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158
Bradley N Johnson Physical Therapy Helping Hands Physical Therapy, LLC 385 Bert Kouns Industrial Loop, Shreveport, LA 71106-8158

Physicians in the same zip code

Name Specialty Organization Address
Kamal A Masri Internal Medicine 3801 Creswell Ave, Unit 19, Shreveport, LA 71106-1257
Michael D Pickering Optometry Eye Care, Inc 5848 Line Ave, Shreveport, LA 71106-1532
Carla Carter Optometry Eye Care, Inc 5848 Line Ave, Shreveport, LA 71106-1532
Jessica K Lantz Optometry Eye Care, Inc 5848 Line Ave, Shreveport, LA 71106-1532
Robert Newton Schwendimann Neurology Remote Neuromonitoring Physicians PC 751 Oneonta St, Shreveport, LA 71106-1623
Kelly A Yerger Nurse Practitioner 910 Pierremont Rd, Suite 234, Shreveport, LA 71106-2058
Lindsey A Pennington Otolaryngology 6030 Line Ave, Suite 110, Shreveport, LA 71106-2073
Tiffany A Jennings Psychologist, Clinical 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2093
Brandy Morgan Stroud Clinical Social Worker Interactional Services, Inc 707 Southfield Rd, Shreveport, LA 71106-2219
Linda I Grayson Clinical Social Worker Interactional Services, Inc 707 Southfield Rd, Shreveport, LA 71106-2219
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Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71106
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty SHREVEPORT + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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