CARYN THEOBALD MD
NPI 1396781233
Family Medicine in Fort Wayne, IN

Q: What is Caryn Theobald's NPI number?

The NPI number for Caryn Theobald is 1396781233. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Caryn Theobald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Caryn Theobald was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2006

3926 NEW VISION DR, FORT WAYNE, IN 46845(419) 445-2015(419) 445-8102 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Caryn Theobald Md NPPES

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

CARYN THEOBALD MD (NPI 1396781233) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Ohio (35-082516) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1396781233

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCARYN THEOBALDCredential: MD

Location Address3926 NEW VISION DRFort Wayne, IN 46845-1712

Mailing Address442 W High StBryan, OH 43506-1681 · (419) 636-4517 · Fax (419) 636-6438

Phone(419) 445-2015

Fax(419) 445-8102

Sole ProprietorNo

Enumeration DateJune 21, 2006

Last NPPES UpdateJanuary 12, 2017

✔ NPI 1396781233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35-082516

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3926 NEW VISION DR, Fort Wayne, IN 46845

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Other Identifiers 3

Medicaid2432264OH

OtherP00245754OH · Railroad

Medicare PIN4111972OH

Other Providers at the Same Location NPPES 2

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

SUMMIT SPEECH & LANGUAGE CARE INC

Clinic/Center (Hearing and Speech)

3926 NEW VISION DR
FORT WAYNE, IN 46845

Allen County (260) 673-2300

MRS. VALERIE LYNN GUALDONI MA,CCC-SLP

Speech-Language Pathologist

3926 NEW VISION DR
FORT WAYNE, IN 46845

Allen County (260) 373-2300

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 Caryn Theobald's NPI number?

The NPI number for Caryn Theobald is 1396781233. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Caryn Theobald located?

Caryn Theobald practices at 3926 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (419) 445-2015.

What is Caryn Theobald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Caryn Theobald was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.