MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1306644042
Urology in Hagerstown, MD

NPI Status: Active since March 07, 2025

Contact Information

11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 733-0022

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  • Organization
  • Urology

About MEDICAL PRACTICES OF ANTIETAM LLC

This page provides the complete NPI Profile along with additional information for Medical Practices Of Antietam Llc, a provider established in Hagerstown, Maryland operating as a Urology. The healthcare provider is registered in the NPI registry with number 1306644042 assigned on March 2025. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. Medical Practices Of Antietam Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joshua Repac (Cfo)

NPI
1306644042
Provider Name
MEDICAL PRACTICES OF ANTIETAM LLC
Entity Type
Organization
Location Address
11110 MEDICAL CAMPUS RD STE 228 HAGERSTOWN, MD 21742
Location Phone
(301) 733-0022
Mailing Address
11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2025
Last Update Date
03-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207U00000XAllopathic & Osteopathic Physicians

Nuclear Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSHUA REPAC

Authorized Official Title
CFO
Authorized Official Phone
(301) 790-9351

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306644042, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 2 + 4 + 8 + 0 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1306644042.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Urology
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Urology
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Clinic/Center (Ambulatory Surgical)
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Anesthesiology
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Urology
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742
Urology
11110 MEDICAL CAMPUS RD STE 228
HAGERSTOWN, MD 21742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306644042, enumerated as an "organization" on March 07, 2025.

The provider is located at 11110 MEDICAL CAMPUS RD STE 228 HAGERSTOWN, MD 21742 and the phone number is (301) 733-0022.

Urology with taxonomy code 208800000X.