1. Home
  2. Directory
  3. Maryland
  4. Frederick
  5. Nurse Practitioner
  6. NPI Profile

ANTIETAM FAMILY HEALTH LLC
NPI 1477366722
Nurse Practitioner - Family in Frederick, MD

Active since January 30, 2025
427 E PATRICK ST, FREDERICK, MD 21701(240) 866-8173 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antietam Family Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIETAM FAMILY HEALTH LLC (NPI 1477366722) is a healthcare organization registered as a family in Frederick, Maryland and active in the NPI registry since January 2025. The organization lists Mark Anthony Roncone, Owner-provider, as its authorized official.

NPPES Registry Identity

NPI1477366722
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANTIETAM FAMILY HEALTH LLC
Location Address427 E PATRICK STFrederick, MD 21701-5777
Mailing Address1219 Mount Aetna Rd Ste 300Hagerstown, MD 21742-6550 · (240) 203-8864 · Fax (240) 866-8173
Phone(240) 866-8173
Organization SubpartNo
Authorized OfficialMark Anthony RonconeOwner-provider · (240) 203-8864
Enumeration DateJanuary 30, 2025
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1477366722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
427 E PATRICK ST, Frederick, MD 21701
Open in Google Maps ↗

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 5

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

BEHAVIORAL COUNSELING SERVICES OF WASHINGTON COUNTY, INC.
Psychiatry & Neurology (Psychiatry)
427 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 662-7003
WELLS HOUSE, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
427 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 739-7748
WESLEY THOMAS MCCULLEY LCSW-C
Social Worker (Clinical)
427 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 662-7003
AFI EMEFA TOULASSI LMSW
Counselor (Addiction (Substance Use Disorder))
427 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 662-7003
ANTIETAM FAMILY HEALTH, LLC
Nurse Practitioner (Family)
427 E PATRICK ST
FREDERICK, MD 21701
Frederick County (240) 203-8864

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 Antietam Family Health LLC's NPI number?

The NPI number for Antietam Family Health LLC is 1477366722. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Antietam Family Health LLC located?

Antietam Family Health LLC is located at 427 E Patrick St, Frederick, MD 21701. The listed phone number is (240) 866-8173.

What is Antietam Family Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Antietam Family Health LLC was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.