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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1275331811
Internal Medicine - Endocrinology, Diabetes & Metabolism in Hagerstown, MD

Active since March 07, 2025
11110 MEDICAL CAMPUS RD STE 108, HAGERSTOWN, MD 21742(301) 714-4041 Get Directions Write a Review

NPPES record last updated: March 7, 2025. 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 1275331811) is a healthcare organization registered as an endocrinology, diabetes & metabolism 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

NPI1275331811
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 108Hagerstown, MD 21742-6734
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 714-4041
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1275331811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedGeneral PracticeTaxonomy 208D00000X
11110 MEDICAL CAMPUS RD STE 108, Hagerstown, MD 21742
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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 8

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

LINDA YERARDI REGISTERED DIETITIAN
Dietitian, Registered (Nutrition, Metabolic)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 956-9867
MILAY LUIS LAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041
BLANCA SOLEDAD MEJIA MS,NL,CNS
Nutritionist (Nutrition, Education)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041
DR. DOUGLAS DIXON CLARKE D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041
MR. JAMES F. WACHTER APRN,BC
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041
TIMOTHY HIGGINS RD
Dietitian, Registered (Nutrition, Metabolic)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041
GWENDOLYN ORFAN CRNP
Nurse Practitioner
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041
SABRINA MEFTALI
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11110 MEDICAL CAMPUS RD STE 108
HAGERSTOWN, MD 21742
Washington County (301) 714-4041

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 1275331811. 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 11110 Medical Campus Rd Ste 108, Hagerstown, MD 21742. The listed phone number is (301) 714-4041.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.