=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649115015
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MCCAGH AND HERRING MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2026
-----------------------------------------------------
Last Update Date | 04/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 240 NEW CREEK HWY
-----------------------------------------------------
City | KEYSER
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26726-8245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-777-7900
-----------------------------------------------------
Fax | 301-724-5590
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 WELTON DR
-----------------------------------------------------
City | CUMBERLAND
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21502-1336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-777-7900
-----------------------------------------------------
Fax | 301-724-5590
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRACTICE MANAGER
-----------------------------------------------------
Name | JENNIFER J ELLIOTT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-777-7900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------