MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1104767771
Psychiatry & Neurology - Neurology in Hagerstown, MD
NPI Status: Active since April 06, 2026
Contact Information
235 MILL ST STE 1
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 739-5959
- Organization
- Psychiatry & Neurology
- Neurology
About MEDICAL PRACTICES OF ANTIETAM LLC
This page provides the complete NPI Profile along with additional information for Medical Practices Of Antietam Llc, a provider established in Hagerstown, Maryland operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1104767771 assigned on April 2026. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated April 2026. Medical Practices Of Antietam Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joshua Repac (Cfo)
- NPI
- 1104767771
- Provider Name
- MEDICAL PRACTICES OF ANTIETAM LLC
- Entity Type
- Organization
- Location Address
- 235 MILL ST STE 1 HAGERSTOWN, MD 21740
- Location Phone
- (301) 739-5959
- Mailing Address
- 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2026
- Last Update Date
- 04-06-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104767771, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104767771, enumerated as an "organization" on April 06, 2026.
The provider is located at 235 MILL ST STE 1 HAGERSTOWN, MD 21740 and the phone number is (301) 739-5959.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
