Joseph J Mayberry, DO

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

OS003136L Issued in PA

Practice address

105 Huntingwood Dr
Lancaster, PA 17602-1390

Phone

(717) 464-4099

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  NPD (past)
• New Jersey/Pennsylvania Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Lititz, PA
  • NPI 1003930686
  NPD (past)
• Red Rose Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lititz, PA
  • NPI 1003865817
  NPD (past)
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)
• New Jersey/Pennsylvania Em-I Medical Services PC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1235521444
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1194798421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HUNTINGWOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021390",
            "telephone_number": "717-951-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HUNTINGWOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021390",
            "telephone_number": "717-464-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS003136L",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "OS003136L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000683795 0010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Marie Maurer, OT/L, LLCC
• Anthony J Mauriello, MD
• Mary Kate Mauro
• Olivia Nicole Maxwell
• Dorothy C May, M.D.
• Kelly Mayfield, BSN
• Michaela T Mayhue, SLP
• Kathryn R Maz, PSY D
• Michael Mazanek
• Kevin Mazariegos

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.