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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1316745953
General Practice in Frederick, MD

Active since March 07, 2025
310 W NINTH ST STE 10, FREDERICK, MD 21701(301) 714-4350 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1316745953) is a healthcare organization registered as a general practice in Frederick, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316745953
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address310 W NINTH ST STE 10Frederick, MD 21701-4546
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 714-4350
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1316745953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgeryTaxonomy 208600000X
310 W NINTH ST STE 10, Frederick, MD 21701
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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

Frequently Asked Questions

What is MEDICAL PRACTICES OF ANTIETAM LLC's NPI number?

The NPI number assigned to this healthcare provider is 1316745953, enumerated as an "organization" on March 07, 2025.

Where is the provider located?

The provider is located at 310 W NINTH ST STE 10 FREDERICK, MD 21701 and the phone number is (301) 714-4350.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.