John Stephen Carbone, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200300952 Issued in NC

Practice address

1105 East Grand Avenue (Veterans Admin Clinic)
Rothschild, WI 54474

Phone

(608) 372-3971

Fax

(252) 744-2419

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Albemarle Regional Health Services

  • State or Local Public Health Clinic/Center
  • Elizabeth City, NC
  • NPI 1659468130
  Medicare reassignment NPD
• Albemarle Regional Health Services

  • State or Local Public Health Clinic/Center
  • Hertford, NC
  • NPI 1487738951
  NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  NPD
• Dickenson County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clintwood, VA
  • NPI 1649209990
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1578646378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC)",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "54474",
            "telephone_number": "608-372-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC)",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "54474",
            "telephone_number": "608-372-3971",
            "fax_number": "252-744-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NC",
            "license": "200300952",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200300952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578646378",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "19ANW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCL784B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102267",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188206",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt Dieter Bartz, RN
• Emily Louise Bohenstengel, REGISTERED NURSE
• Victoria Boyd, MA
• Amanda Buchberger, BCBA
• Mae Cantrell, RN
• Dee Cha, CRNA, APNP
• Jacie Cihlar, PHARM D
• City of Schofield
• Timothy Allen Condon, R.PH.
• Teresa L Cornwell, RN

• Psychiatry Physician in Rothschild, WI
• Providers in Rothschild, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.