MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1124826862
Neurological Surgery in Hagerstown, MD

Active since March 07, 2025
11110 MEDICAL CAMPUS RD STE 143, HAGERSTOWN, MD 21742(301) 790-8750 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Mar 7, 2025 (2 updates tracked since 2025).

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 1124826862) is a healthcare organization registered as a neurological 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

NPI1124826862
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 143Hagerstown, MD 21742-6755
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1124826862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
11110 MEDICAL CAMPUS RD STE 143, Hagerstown, MD 21742

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 18

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

Nurse Practitioner
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Surgery
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Surgery (Trauma Surgery)
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Physician Assistant
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Surgery (Surgical Oncology)
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Internal Medicine
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742
Dietitian, Registered
11110 MEDICAL CAMPUS RD STE 143
HAGERSTOWN, MD 21742

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 1124826862. 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 143, Hagerstown, MD 21742. The listed phone number is (301) 790-8750.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.