Healthcare Provider Details

I. General information

NPI: 1649115015
Provider Name (Legal Business Name): MCCAGH AND HERRING MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 NEW CREEK HWY
KEYSER WV
26726-8245
US

IV. Provider business mailing address

100 WELTON DR
CUMBERLAND MD
21502-1336
US

V. Phone/Fax

Practice location:
  • Phone: 301-777-7900
  • Fax: 301-724-5590
Mailing address:
  • Phone: 301-777-7900
  • Fax: 301-724-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER J ELLIOTT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 301-777-7900