Healthcare Provider Details

I. General information

NPI: 1831469188
Provider Name (Legal Business Name): PATRICIA R TARESCAVAGE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2012
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3557 EMBASSY PKWY STE 1021
AKRON OH
44333-8358
US

IV. Provider business mailing address

3557 EMBASSY PKWY STE 1021
AKRON OH
44333-8358
US

V. Phone/Fax

Practice location:
  • Phone: 330-670-4242
  • Fax: 330-670-4241
Mailing address:
  • Phone: 330-670-4242
  • Fax: 330-670-4241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.009069RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: