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NPI Code Detail

MEDICARE: CARYL ANN DELLINGER MD

MEDICARE: CARYL ANN DELLINGER MD
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
12084V0102XVascular Neurology Physician2009023881MO
22084N0400XNeurology Physician0101287616VA
32084N0400XNeurology Physician39392SC
42084N0400XNeurology Physician54733WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588833925
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARYL ANN DELLINGER MD
Provider Business Mailing Address
First Line : 979 E 3RD ST
Second Line : ERLANGER-SOUTHEAST REGIONAL STROCK CENTER
City : CHATTANOOGA
State : TN
Zip : 37403-2136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5702
Country : US
Telephone Number : 715-387-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2008
Last Update Date : 06/17/2026

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