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MEDICAL PRACTICES OF ANTIETAM, LLC
NPI 1316620743
Clinic/Center - Ambulatory Surgical in Hagerstown, MD

Active since August 11, 2023
11110 MEDICAL CAMPUS RD STE 242, HAGERSTOWN, MD 21742(240) 513-7072 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1316620743) is a healthcare organization registered as an ambulatory surgical in Hagerstown, Maryland and active in the NPI registry since August 2023. The organization lists Joshua Repac, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316620743
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM, LLC
Location Address11110 MEDICAL CAMPUS RD STE 242Hagerstown, MD 21742-6728
Mailing Address11110 Medical Campus Rd Ste 242Hagerstown, MD 21742-6728
Phone(240) 513-7072
Organization SubpartNo
Authorized OfficialJoshua RepacChief Financial Officer · (301) 790-9351
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1316620743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11110 MEDICAL CAMPUS RD STE 242, Hagerstown, MD 21742
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Other Names 1

Other NameMeritus Urology Center

Other Providers at the Same Location NPPES 4

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

DR. VAMSHIDHAR REDDY VOOTLA M.D.
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Washington County (240) 513-7072
MEDICAL PRACTICES OF ANTIETAM LLC
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Washington County (240) 513-7072
HAGERSTOWN GASTROENTEROLOGY CP CHOUDARI PA
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Washington County (240) 422-6210
DR. CHINTAMANENI P CHOUDARI M.D.
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 242
HAGERSTOWN, MD 21742
Washington County (240) 513-7072

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 1316620743. It was assigned to this organization in the NPPES registry on August 11, 2023. The provider is also known as Meritus Urology Center.

Where is Medical Practices Of Antietam, LLC located?

Medical Practices Of Antietam, LLC is located at 11110 Medical Campus Rd Ste 242, Hagerstown, MD 21742. The listed phone number is (240) 513-7072.

What is Medical Practices Of Antietam, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam, LLC was last updated on August 11, 2023. 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.