MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1164220703
Pain Medicine - Pain Medicine in Hagerstown, MD

Active since March 07, 2025
11110 MEDICAL CAMPUS RD STE 225, HAGERSTOWN, MD 21742(301) 665-4720 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1164220703) is a healthcare organization registered as a pain medicine 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

NPI1164220703
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 225Hagerstown, MD 21742-6727
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1164220703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedGeneral PracticeTaxonomy 208D00000X
11110 MEDICAL CAMPUS RD STE 225, 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 4

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

Anesthesiology (Pain Medicine)
11110 MEDICAL CAMPUS RD STE 225
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 225
HAGERSTOWN, MD 21742
Family Medicine
11110 MEDICAL CAMPUS RD STE 225
HAGERSTOWN, MD 21742
Nurse Practitioner (Psychiatric/Mental Health)
11110 MEDICAL CAMPUS RD STE 225
HAGERSTOWN, MD 21742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164220703, enumerated as an "organization" on March 07, 2025.

The provider is located at 11110 MEDICAL CAMPUS RD STE 225 HAGERSTOWN, MD 21742 and the phone number is (301) 665-4720.

Pain Medicine with taxonomy code 208VP0000X.