MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1093513632
Internal Medicine - Pulmonary Disease in Frederick, MD

Q: What is Medical Practices Of Antietam LLC's NPI number?

The NPI number for Medical Practices Of Antietam LLC is 1093513632. It was assigned to this organization in the NPPES registry on March 7, 2025.

Q: What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since March 07, 2025

604 SOLAREX CT UNIT 207, FREDERICK, MD 21703(240) 439-4344 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medical Practices Of Antietam Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL PRACTICES OF ANTIETAM LLC (NPI 1093513632) is a healthcare organization registered as a pulmonary disease in Frederick, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093513632

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC

Location Address604 SOLAREX CT UNIT 207Frederick, MD 21703-8655

Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710

Phone(240) 439-4344

Organization SubpartNo

Authorized OfficialJoshua RepacCfo · (301) 790-9351

Enumeration DateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1093513632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedGeneral PracticeTaxonomy 208D00000X

604 SOLAREX CT UNIT 207, Frederick, MD 21703

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Practices Of Antietam LLC's NPI number?

The NPI number for Medical Practices Of Antietam LLC is 1093513632. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 604 Solarex Ct Unit 207, Frederick, MD 21703. The listed phone number is (240) 439-4344.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.