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ANTIETAM FAMILY HEALTH, LLC
NPI 1225815327
Nurse Practitioner - Family in Hagerstown, MD

Active since September 12, 2023
1101 OPAL CT STE 217, HAGERSTOWN, MD 21740(240) 203-8864 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antietam Family Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIETAM FAMILY HEALTH, LLC (NPI 1225815327) is a healthcare organization registered as a family in Hagerstown, Maryland and active in the NPI registry since September 2023. The organization lists Mark Anthony Roncone, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1225815327
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANTIETAM FAMILY HEALTH, LLC
Location Address1101 OPAL CT STE 217Hagerstown, MD 21740-5941
Mailing Address1101 Opal Ct Ste 217Hagerstown, MD 21740-5941 · (240) 203-8864
Phone(240) 203-8864
Organization SubpartNo
Authorized OfficialMark Anthony RonconeOwner/provider · (240) 203-8864
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1225815327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1101 OPAL CT STE 217, Hagerstown, MD 21740
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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.

CYNTHIA KLINE NP
Nurse Practitioner (Psychiatric/Mental Health)
1101 OPAL CT STE 217
HAGERSTOWN, MD 21740
Washington County (240) 384-4679
CHRISTOPHER BENNETT NP
Nurse Practitioner (Psychiatric/Mental Health)
1101 OPAL CT STE 217
HAGERSTOWN, MD 21740
Washington County (240) 384-4679
MR. MARK ANTHONY RONCONE FNP
Nurse Practitioner (Family)
1101 OPAL CT STE 217
HAGERSTOWN, MD 21740
Washington County (402) 038-8642

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 Antietam Family Health, LLC's NPI number?

The NPI number for Antietam Family Health, LLC is 1225815327. It was assigned to this organization in the NPPES registry on September 12, 2023.

Where is Antietam Family Health, LLC located?

Antietam Family Health, LLC is located at 1101 Opal Ct Ste 217, Hagerstown, MD 21740. The listed phone number is (240) 203-8864.

What is Antietam Family Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Antietam Family Health, LLC was last updated on September 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.