MEDICAL PRACTICES OF ANTIETAM, LLC
NPI 1144986233
Orthopaedic Surgery in Frederick, MD

Active since November 12, 2021
187 THOMAS JOHNSON DR STE 1, FREDERICK, MD 21702(301) 378-9421 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2022, Nov 12, 2021 (2 updates tracked since 2021).

  • Organization
  • Orthopaedic 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 Frederick, Maryland operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1144986233 assigned on November 2021. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Joshua Repac (Cfo)

NPI
1144986233 Verify this NPI
Provider Name
MEDICAL PRACTICES OF ANTIETAM, LLC
Entity Type
Organization
Location Address
187 THOMAS JOHNSON DR STE 1 FREDERICK, MD 21702
Location Phone
(301) 378-9421
Mailing Address
187 THOMAS JOHNSON DR STE 1 FREDERICK, MD 21702
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2021
Last Update Date
10-26-2022
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSHUA REPAC

Authorized Official Title
CFO
Authorized Official Phone
(301) 790-9351

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Specialist
187 THOMAS JOHNSON DR STE 1
FREDERICK, MD 21702
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
187 THOMAS JOHNSON DR STE 1
FREDERICK, MD 21702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144986233, enumerated as an "organization" on November 12, 2021.

The provider is located at 187 THOMAS JOHNSON DR STE 1 FREDERICK, MD 21702 and the phone number is (301) 378-9421.

Orthopaedic Surgery with taxonomy code 207X00000X.