Jerome Emile Carbone, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD 00018203 Issued in WA

Practice address

7318 NW Ioka Dr
Silverdale, WA 98383-7359

Phone

(360) 692-5170

Fax

(360) 692-5170

NPI assigned

Mar 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1437457090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 NW IOKA DR",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837359",
            "telephone_number": "360-692-5170",
            "fax_number": "360-692-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 NW IOKA DR",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837359",
            "telephone_number": "360-692-5170",
            "fax_number": "360-692-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "JEROME",
        "middle_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD 00018203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyleen Alane Campbell, LMP
• Sara Jung Campbell, M.S. CCC-SP
• Julie Canterbury, MA
• Mary Anne Cantu, MA 617404565
• Yen Thi Kim Hong Cao, MD
• Tiffany M Cardinal, MD
• Careplus LLC (Careplus AFH)
• Tiana Carino
• Carlile Movement PLLC
• Joshua Robert Carlile, D.C.

• Pulmonary Disease Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Pulmonary Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.