Healthcare Provider Details

I. General information

NPI: 1649739780
Provider Name (Legal Business Name): JARED CARNEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WHITE OAK PROFESSIONAL CTR
VINCENT OH
45784-9117
US

IV. Provider business mailing address

416 COLEGATE DR BLDG 3
MARIETTA OH
45750-9549
US

V. Phone/Fax

Practice location:
  • Phone: 740-678-2374
  • Fax: 740-678-8139
Mailing address:
  • Phone: 740-374-3526
  • Fax: 740-374-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.015554
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: