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Deactivated NPI 1134187255 Deactivated / Inactive NPI Male Practitioner

Dr. Hershel P Wall , MD

Pediatrics • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hershel Wall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2006
NPI Deactivation Date February 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Hershel Wall, MD was a registered Pediatrics practicing in Memphis, TN. Throughout an active medical career spanning 17 years, Dr. Wall provided care at the practice location at 1910 NONCONNAH BLVD until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

1910 Nonconnah Blvd
Suite 120

Memphis, TN 381322113

Telephone 9014482300
Fax 9014486657
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
200 Specialists

Practicing in Memphis, TN (1299 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TN 3955

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Joel Slade , MD

Anesthesiology

NPI 1003872045

Doctor of Medicine (M.D.)

Dr. William Riggs , MD

Radiology - Pediatric Radiology

NPI 1013974195

Doctor of Medicine (M.D.)

Dr. James Lewis , MD

Internal Medicine

NPI 1013974930

Doctor of Medicine (M.D.)

Jamie Harford , NP

Registered Nurse - Neonatal Intensive Care

NPI 1033140496

Nurse Practitioner

Dorothy Morrow , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043277411

Certified Registered Nurse Anesthetist

Sylvia Watt , NP

Nurse Practitioner

NPI 1043277494

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 381322113 (Tel: 9014482300)

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Updated Business Mailing Address July 08, 2007

Registered at 66 N PAULINE ST, SUITE 206, MEMPHIS, TN 381055105 (Tel: 9014487642)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HERSHEL WALL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #3955 in TN)

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Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134187255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: July 08, 2007
Deactivation Date: February 15, 2023

Mailing Address

66 N Pauline St, Suite 206

Memphis, TN 381055105

Phone: 9014487642

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.