Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caryn Theobald, MD

Individual provider Family Medicine Physician · NPI 1396781233

Caryn Theobald, MD is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3926 New Vision Dr
Fort Wayne, IN 46845-1712
Phone: (419) 445-2015
Fax: (419) 445-8102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-082516 (OH)

Record details

NPI number1396781233
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJanuary 12, 2017
Mailing address442 W High St, Bryan, OH 43506-1681

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