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

Jarvis Wayne Walters, DO

Individual provider Surgery Physician · NPI 1508108945

Jarvis Wayne Walters, DO is a General Surgery in Peoria, Arizona. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona, District of Columbia and Kansas.

Years since qualifying
13
Licensed in
AZ, DC, KS
In the registry since
2013
Specialties on file
3
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

14155 N 83rd Ave Ste 105
Peoria, AZ 85381-5640
Phone: (623) 486-7700
Fax: (623) 486-7703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 008056 (AZ)
Surgery Physician Taxonomy 208600000X · Licence DO034734 (DC)
Surgery Physician Taxonomy 208600000X · Licence 05-42508 (KS)

Record details

NPI number1508108945
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 25, 2013
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address14155 N 83rd Ave Ste 105, Peoria, AZ 85381-5640

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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