Active NPI
Jules A. Walters II, M.D.
- Surgery Physician
- Metairie, LA
National Provider Identifier
1972793479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- PGY.2.LSUN-SURG
- Practice address
- 3100 Galleria Dr.
Suite 205
Metairie, LA 70001 - Phone
- (318) 286-6291
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | PGY.2.LSUN-SURG | LA | Primary |
Addresses
Primary practice location
3100 Galleria Dr.
Suite 205
Metairie, LA 70001
Mailing address
3100 Galleria Dr.
Suite 205
Metairie, LA 70001
Phone (504) 517-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PGY.2.LSUN-SURG | LA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1972793479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 GALLERIA DR.",
"address_2": "SUITE 205",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70001",
"telephone_number": "504-517-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 GALLERIA DR.",
"address_2": "SUITE 205",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70001",
"telephone_number": "318-286-6291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JULES",
"middle_name": "A.",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "PGY.2.LSUN-SURG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.