JOHN C. MAYBERRY MD – NPI #1528074077
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

JOHN MAYBERRY is a surgeon located in CALDWELL, ID. NPPES has assigned the NPI number 1528074077 to JOHN MAYBERRY on August 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 3 years ago on Oct 03, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN MAYBERRY below.

NPI Profile for
JOHN C. MAYBERRY

NPI Number
1528074077
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN C. MAYBERRY
Credentials
MD
Primary location
1906 FAIRVIEW AVE STE 130
CALDWELL, ID 83605-5433
Phone: (208) 453-4260 Fax: (844) 213-3678
3 Other location(s):
7910 Frost St Ste 250
San Diego, CA 92123-2752
Phone: (503) 330-7728
Fax: (844) 213-3678
1717 Arlington Ave
Caldwell, ID 83605-4802
Phone: (208) 459-4641
100 Hospital Drive
Ketchum, ID 83340
Phone: (208) 727-8864
Mailing address
PO BOX 1074
CALDWELL, ID 83606-1074
Phone: (208) 453-4260 Fax: (844) 213-3678
Sole Proprietor
Yes
Updated
Certification Date
Oct 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
ID M-12108
2086S0102X
- Surgery / Surgical Critical Care
ID M-12108

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE - Graduated 1986
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN MAYBERRY is affiliated with the following medical group(s):
  • HOSPITAL
    • GROSSMONT HOSPITAL
      5555 GROSSMONT CENTER DRIVE BOX 58
      LA MESA, CA 91942
    • WEST VALLEY MEDICAL CENTER
      1717 ARLINGTON STREET
      CALDWELL, ID 83605

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.