MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1114725850
Plastic Surgery in Hagerstown, MD
NPI Status: Active since March 07, 2025
Contact Information
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 714-4460
- Organization
- Plastic Surgery
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 Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1114725850 assigned on March 2025. The practitioner's primary taxonomy code is 208200000X. The provider is registered as an organization and their NPI record was last updated one year ago. 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
- 1114725850
- Provider Name
- MEDICAL PRACTICES OF ANTIETAM LLC
- Entity Type
- Organization
- Location Address
- 11110 MEDICAL CAMPUS RD STE 241 HAGERSTOWN, MD 21742
- Location Phone
- (301) 714-4460
- Mailing Address
- 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2025
- Last Update Date
- 03-07-2025
- 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
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
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 1114725850, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
HAGERSTOWN, MD 21742
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114725850, enumerated as an "organization" on March 07, 2025.
The provider is located at 11110 MEDICAL CAMPUS RD STE 241 HAGERSTOWN, MD 21742 and the phone number is (301) 714-4460.
Plastic Surgery with taxonomy code 208200000X.
