John Clark Mayberry, MD
John Clark Mayberry, MD is a General Surgery in Caldwell, Idaho. Graduated from Oregon Health Sciences University School of Medicine in 1986, 40 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 40
- Trained at
- Oregon Health Sciences University School of Medicine
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1906 Fairview Ave Ste 130Caldwell, ID 83605-5433
Phone: (208) 453-4260
Fax: (844) 213-3678
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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 M-12108 (ID) |
|---|---|
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence M-12108 (ID) |
Record details
| NPI number | 1528074077 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2006 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 3, 2023 |
| Mailing address | Po Box 1074, Caldwell, ID 83606-1074 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1986 (40 years in practice) |
| Group practice | Pine Ridge Indian Health Service Hospital — 104 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |