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1447373212

NPI Code Detail

MEDICARE: CARRIE ANN DICHIARO M.D.

MEDICARE: CARRIE ANN DICHIARO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	4301091602	MI
2	208000000X	Pediatrics Physician	4301091602	MI
3	208000000X	Pediatrics Physician	20467	ME
4	208000000X	Pediatrics Physician	47038	KY
5	208000000X	Pediatrics Physician	35.088962	OH
6	208000000X	Pediatrics Physician	Q0903	TX
7	208000000X	Pediatrics Physician	35.0088962	OH
8	2080P0201X	Pediatric Allergy/Immunology Physician	35.088962	OH
9	2080P0201X	Pediatric Allergy/Immunology Physician	47038	KY
10	208M00000X	Hospitalist Physician	35.088962	OH
11	207K00000X	Allergy & Immunology Physician	4301091602	MI
12	207KA0200X	Allergy Physician	Q0903	TX

General Provider Information

NPI Number	:	1447373212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE ANN DICHIARO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 23994
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40523-3994
Country	:	US
Telephone Number	:	513-706-2752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 W MAIN ST
Second Line	:
City	:	BELLEVUE
State	:	OH
Zip	:	44811-9088
Country	:	US
Telephone Number	:	419-483-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	04/21/2023

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Directions to “ CARRIE ANN DICHIARO M.D.” Practice Location

Language	Start Address	Practice Location

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