DR. AARON J MAYBERRY (NPI# 1720011315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720011315 |
| Entity Type | Individual |
| Full Name | DR. AARON J MAYBERRY |
| Credential | MD, FACS |
| Practice Address |
7115 Prospect Pl Ne Albuquerque NM 87110-4313 |
| Mailing Address |
Po Box 36420 Albuquerque NM 87176-6420 |
| Practice Telephone | 5058883844 |
| Practice Fax Number | 5055038275 |
| Mailing Telephone | 5058883844 |
| Mailing Fax Number | 5055038275 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 200171 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 9553053 | 05 |
| Street Address |
7115 PROSPECT PL NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891011581 | Aaron J. Mayberry, Md, PC | Specialist | 7115 Prospect Pl Ne, Albuquerque, NM 87110-4313 | 2010-04-20 |
| 1629159546 | Alfred S Giombolini | Dentist | 7115 Prospect Pl Ne, Albuquerque, NM 87110 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184763195 | Jennifer Chan | Plastic Surgery | Sandia Plastic Surgery, 1020 Tijeras Ave. Ne, Albuquerque, NM 87106-4749 | 2007-02-06 |
| 1518045657 | New Mexico Plastic | Plastic Surgery | 1020 Tijeras Ave Ne Ste 16, Albuquerque, NM 87106-4749 | 2006-11-02 |
| 1336226075 | Miguel Lorenzo Gallegos | Plastic Surgery | 8004 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2006-11-01 |
| 1124033600 | Cesar Luis Cuadros | Plastic Surgery | 8232 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2429 | 2006-07-30 |
| 1871931386 | Garrett Daniel Wegerif | Plastic Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2013-06-06 |
| 1407171408 | Sandia Plastic Surgery, PC | Plastic Surgery | 801 Encino Place Ne, Suite D7, Albuquerque, NM 87102 | 2010-04-01 |
| 1043402274 | Richard Charles Gobeille | Plastic Surgery | 2601 Wyoming Blvd Ne, Suite 205, Albuquerque, NM 87112-1035 | 2007-08-12 |
| 1700076239 | Jeffrey Wu | Plastic Surgery | 2211 Lomas Blvd Ne Fl 2, Unm Surgical Plastic Surgery Clinic, Albuquerque, NM 87106-2719 | 2007-07-31 |
| 1659570950 | William G. Loutfy | Plastic Surgery | 10400 Academy Rd Ne, #230, Albuquerque, NM 87111-1229 | 2007-07-16 |
| 1215058359 | Anil Shetty | Plastic Surgery | 2211 Lomas Blvd Ne, University of New Mexico Health Sciences Center, Albuquerque, NM 87106-2719 | 2007-04-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.