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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1265275341
Emergency Medicine - Sports Medicine in Hagerstown, MD

Active since June 17, 2024
17301 VALLEY MALL RD STE 125, HAGERSTOWN, MD 21740(301) 790-9237 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 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 1265275341) is a healthcare organization registered as a sports medicine in Hagerstown, Maryland and active in the NPI registry since June 2024. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265275341
Entity TypeOrganization
Primary Taxonomy207PS0010X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address17301 VALLEY MALL RD STE 125Hagerstown, MD 21740-6966
Mailing Address17301 Valley Mall Rd Ste 125Hagerstown, MD 21740-6966
Phone(301) 790-9237
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1265275341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
17301 VALLEY MALL RD STE 125, Hagerstown, MD 21740
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MERITUS URGENT CARE, LLC
Clinic/Center
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 790-9239
ZYON EMANUEL WILEY
Physical Therapist
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 790-9238
MEDICAL PRACTICES OF ANTIETAM LLC
Internal Medicine (Sports Medicine)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 790-9237
MERITUS MEDICAL CENTER INC
Clinic/Center (Rehabilitation)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 714-4025
MERITUS URGENT CARE LLC
Clinic/Center
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 302-7837
MEDICAL PRACTICES OF ANTIETAM LLC
Family Medicine
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 790-8000
ETHAN MARSHALL BULGER
Physician Assistant
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (301) 790-9236
MERITUS URGENT CARE LLC
Clinic/Center (Urgent Care)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Washington County (240) 313-3100

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 1265275341. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 17301 Valley Mall Rd Ste 125, Hagerstown, MD 21740. The listed phone number is (301) 790-9237.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.