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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1194523738
Surgery in Frederick, MD

Active since March 07, 2025
400 W 7TH ST, FREDERICK, MD 21701(301) 790-8000 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 1194523738) is a healthcare organization registered as a surgery in Frederick, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194523738
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address400 W 7TH STFrederick, MD 21701-4506
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 790-8000
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1194523738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X
400 W 7TH ST, Frederick, MD 21701
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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 20

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

MS. LINDA B PRUCE SLP
Speech-Language Pathologist
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 566-3337
LORI SUSAN SPERLING D.P.T.
Physical Therapist
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (800) 603-6046
ROY DEGRANGE JR.
Nurse Anesthetist, Certified Registered
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (250) 566-3300
DR. BHARTI RAZDAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
400 W 7TH ST, NICU, FREDERICK MEMORIAL HOSPITAL
FREDERICK, MD 21701
Frederick County (240) 566-3582
PATRICIA M MAUNDU PHARM.D.
Pharmacist
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 566-3393
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC
Internal Medicine
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (615) 577-6366
FREDERICK HEALTH MEDICAL GROUP LLC
Family Medicine
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 215-6310
MRS. AMY JEANNE MCGREEVY RN, MS, CRNP, OCN
Nurse Practitioner (Acute Care)
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 566-3031

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 1194523738. 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 400 W 7th St, Frederick, MD 21701. The listed phone number is (301) 790-8000.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.