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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1114725850
Plastic Surgery in Hagerstown, MD

Active since March 07, 2025
11110 MEDICAL CAMPUS RD STE 241, HAGERSTOWN, MD 21742(301) 714-4460 Get Directions Write a Review

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

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 1114725850) is a healthcare organization registered as a plastic surgery in Hagerstown, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114725850
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 241Hagerstown, MD 21742-6756
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 714-4460
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1114725850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
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.
Also ListedSurgeryTaxonomy 208600000X
Also ListedGeneral PracticeTaxonomy 208D00000X
11110 MEDICAL CAMPUS RD STE 241, Hagerstown, MD 21742
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC MAIORINO M.D.
Plastic Surgery
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD 21742
Washington County (301) 714-4460
MEDICAL PRACTICES OF ANTIETAM, LLC
Clinic/Center (Ambulatory Surgical)
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD 21742
Washington County (301) 714-4460
MERITUS MEDICAL CENTER INC
Anesthesiology
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD 21742
Washington County (301) 790-8000

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 1114725850. 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 11110 Medical Campus Rd Ste 241, Hagerstown, MD 21742. The listed phone number is (301) 714-4460.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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.