Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Wayne Potter, DO

Individual provider Surgery Physician · NPI 1831355643

Dr. Kevin Wayne Potter, DO is a General Surgery in Glendale, Arizona. Qualified in 2003, 23 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7330 N 99th Ave Ste 200A
Glendale, AZ 85307-3018
Phone: (602) 406-3400
Fax: (602) 406-0270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 N 6th St Ste 402, Phoenix, AZ 85004-3067 — (602) 406-8222

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 005313 (AZ)

Record details

NPI number1831355643
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2008
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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