Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maccorkle Emergency Physicians PLLC

Organization Emergency Medicine Physician · NPI 1659856383

Maccorkle Emergency Physicians PLLC is an Emergency Medicine Physician in South Charleston, West Virginia. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1659856383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (973) 251-1132
NPI enumeratedSeptember 28, 2018
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address100 Witmer Rd Ste 220, Horsham, PA 19044-2279

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