Healthcare Provider Details

I. General information

NPI: 1780168419
Provider Name (Legal Business Name): JASON DARGET
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 S MAIN ST STE 107
AKRON OH
44311-4402
US

IV. Provider business mailing address

608 KNIGHTS AVE
COLUMBUS OH
43230-2355
US

V. Phone/Fax

Practice location:
  • Phone: 330-368-2400
  • Fax: 330-313-3849
Mailing address:
  • Phone: 248-820-8597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: