Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639707458 Individual Practitioner Male Practitioner

Philip Soni Chacko

Surgery • Charleston, WV

Professional Overview & Biography Verified Profile Summary

Philip Chacko is a registered healthcare professional specializing in Surgery in Charleston, WV. Practice services are available at 3200 MACCORKLE AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 Maccorkle Ave Se

Charleston, WV 253041227

Telephone 2485141520
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Charleston, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.9 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
33 Specialists

Practicing in Charleston, WV (221 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-28
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 4674

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 5151014370

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Cameron Duba , DO

Emergency Medicine

NPI 1003550765

Doctor of Osteopathic Medicine (D.O.)

NPI 1003742875

Bachelor of Science in Nursing, Registered Nurse, CCRNCMC

Brenda Keefer , ANP

Nurse Practitioner - Family

NPI 1003829532

Adult Nurse Practitioner

NPI 1013019280

Doctor of Medicine (M.D.)

Tiffany Dutton , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013320118

Certified Registered Nurse Anesthetist

Jennifer Valdez

Nurse Anesthetist, Certified Registered

NPI 1013530567

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 28, 2025

Registered at 3200 MACCORKLE AVE SE, CHARLESTON, WV 253041227 (Tel: 2485141520)

📍
Updated Business Mailing Address June 28, 2025

Registered at 3200 MACCORKLE AVE SE, CHARLESTON, WV 253041227

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2020

Surgery (License #5151014370 in MI)

NPI Profile Active March 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2020

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504 (Tel: 2485141520)

📍
Updated Business Mailing Address March 31, 2020

Registered at 15855 19 MILE RD, CLINTON TOWNSHIP, MI 480383504 (Tel: 2485141520)

👤
Provider Name / Credentials Updated March 31, 2020

Recorded as PHILIP CHACKO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639707458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2020
Last Update: June 28, 2025
Sole Proprietor: No

Mailing Address

3200 Maccorkle Ave Se

Charleston, WV 253041227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.