Staci M Karbon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41332 Issued in WI

Practice address

1630 Commanche Ave
Green Bay, WI 54313-6089

Phone

(920) 430-4585

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: skarbon925431@direct.emplifyhealth.org
• Direct secure messaging: skarbon32393@direct.thedacare.org

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1568446300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 COMMANCHE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543136089",
            "telephone_number": "920-430-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 COMMANCHE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543136089",
            "telephone_number": "920-430-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBON",
        "first_name": "STACI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "41332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "41332",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn A Kananen, NP
• Caroline Jean Kandravi
• Julie A Kane, APNP
• Andrew Kanzenbach
• Amy Sue Karakas, NNP-BC
• Anne Karjala-Dobbins, M.S.
• Amritha Chandrahasa Karkera, M.D.
• Ethan A Karol, PA
• Rachel M Kars, OT
• Gayle M Kasdorf, M.D.

• Pediatrics Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.