Active NPI
Aaron J Mayberry, MD, FACS
- Plastic Surgery Physician
- Albuquerque, NM
National Provider Identifier
1720011315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 200171
- Practice address
- 7115 Prospect PL NE
Albuquerque, NM 87110-4313 - Phone
- (505) 888-3844
- Fax
- (505) 503-8275
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 200171 | NM | Primary |
Addresses
Primary practice location
7115 Prospect PL NE
Albuquerque, NM 87110-4313
Mailing address
PO Box 36420
Albuquerque, NM 87176-6420
Phone (505) 888-3844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9553053 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200171 | NM | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaron J. Mayberry, MD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Albuquerque, NM
- NPI 1891011581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1720011315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36420",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871766420",
"telephone_number": "505-888-3844",
"fax_number": "505-503-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 PROSPECT PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104313",
"telephone_number": "505-888-3844",
"fax_number": "505-503-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "AARON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD, FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NM",
"license": "200171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9553053",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.