MEDICAL PRACTICES OF ANTIETAM, LLC
NPI 1518686229
Clinic/Center - Ambulatory Surgical in Hagerstown, MD

Active since August 25, 2022
11110 MEDICAL CAMPUS RD STE 241, HAGERSTOWN, MD 21742(301) 714-4460 Get Directions Write a Review

NPPES record last updated: August 25, 2022. 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 1518686229), doing business as Meritus Cosmetic And Plastic Surgery Center, is a healthcare organization registered as an ambulatory surgical in Hagerstown, Maryland and active in the NPI registry since August 2022. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1518686229
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM, LLC
Location Address11110 MEDICAL CAMPUS RD STE 241Hagerstown, MD 21742-6756
Mailing Address11110 Medical Campus Rd Ste 241Hagerstown, MD 21742-6756
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
NPI 1518686229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedPoint of ServiceTaxonomy 305S00000X
11110 MEDICAL CAMPUS RD STE 241, Hagerstown, MD 21742

Other Names 1

Doing Business AsMeritus Cosmetic And Plastic Surgery Center

Other Providers at the Same Location NPPES 3

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

Plastic Surgery
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD 21742
Plastic Surgery
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD 21742
Anesthesiology
11110 MEDICAL CAMPUS RD STE 241
HAGERSTOWN, MD 21742

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 1518686229. It was assigned to this organization in the NPPES registry on August 25, 2022. The provider is doing business as Meritus Cosmetic and Plastic Surgery Center.

Where is Medical Practices Of Antietam, LLC located?

Medical Practices Of Antietam, LLC is located at 11110 Medical Campus Rd Ste 241, Hagerstown, MD 21742. The listed phone number is (301) 714-4460.

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 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.