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MRS. CARRY E DEPOLD PA C
NPI 1235116997
Physician Assistant in Fort Wayne, IN

Active since December 23, 2005
2200 RANDALLIA DR, PROFESSIONAL EMERGENCY PHYSICIANS, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Carry E Depold Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARRY E DEPOLD PA C (NPI 1235116997) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10001452A.) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1235116997
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CARRY E DEPOLDCredential: PA C
Location Address2200 RANDALLIA DR, PROFESSIONAL EMERGENCY PHYSICIANSFort Wayne, IN 46805-4638
Mailing Address3640 New Vision Dr, Professional Emergency Physicians, Suite AFort Wayne, IN 46845-1717 · (260) 482-4440 · Fax (260) 482-4442
Phone(260) 373-4000
Fax(260) 482-4442
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateJune 4, 2013
✔ NPI 1235116997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10001452A.
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 RANDALLIA DR, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MR. THOMAS G EDWARDS PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carry Depold's NPI number?

The NPI number for Carry Depold is 1235116997. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Carry Depold located?

Carry Depold practices at 2200 Randallia Dr Professional Emergency Physicians, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.

What is Carry Depold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carry Depold was last updated on June 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.