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

Mrs. Carry E Depold, PAC

Individual provider Physician Assistant · NPI 1235116997

Mrs. Carry E Depold, PAC is a Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2200 Randallia Dr Professional Emergency Physicians
Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001452A. (IN)

Record details

NPI number1235116997
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESJune 4, 2013
Mailing address3640 New Vision Dr, Professional Emergency Physicians, Suite A, Fort Wayne, IN 46845-1717

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