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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1407792708
Family Medicine in Hagerstown, MD

Active since April 28, 2026
11110 MEDICAL CAMPUS RD STE 229, HAGERSTOWN, MD 21742(301) 790-9072 Get Directions Write a Review

NPPES record last updated: May 1, 2026. 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 1407792708) is a healthcare organization registered as a family medicine in Hagerstown, Maryland and active in the NPI registry since April 2026. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407792708
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address11110 MEDICAL CAMPUS RD STE 229Hagerstown, MD 21742-6727
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(301) 790-9072
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateApril 28, 2026
Last NPPES UpdateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1407792708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11110 MEDICAL CAMPUS RD STE 229, 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

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 1407792708. It was assigned to this organization in the NPPES registry on April 28, 2026.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 11110 Medical Campus Rd Ste 229, Hagerstown, MD 21742. The listed phone number is (301) 790-9072.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.