NPI age
19 years
Enumerated 2006-08-01
● Active
Type 1 · Individual
John Clark Mayberry, MD
Mayberry is 1 of 6 surgery providers in Caldwell and 1 of 260 in Idaho.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
1906 Fairview Ave Ste 130
Caldwell, ID 836055433
Mailing address
Po Box 1074
Caldwell, ID 836061074
Specialties
-
Surgery PrimaryA 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...
-
SurgeryA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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