MEDICAL PRACTICES OF ANTIETAM, LLC
NPI 1558430843
General Practice in Hagerstown, MD

Q: What is Medical Practices Of Antietam, LLC's NPI number?

The NPI number for Medical Practices Of Antietam, LLC is 1558430843. It was assigned to this organization in the NPPES registry on November 8, 2006.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 08, 2006

11110 MEDICAL CAMPUS ROAD, SUITE 229, HAGERSTOWN, MD 21742(301) 665-4531(301) 790-9103 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 26, 2022, Mar 26, 2021, Oct 30, 2019 and 2 more (5 updates tracked since 2019).

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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 1558430843) is a healthcare organization registered as a general practice in Hagerstown, Maryland and active in the NPI registry since November 2006. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1558430843

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMEDICAL PRACTICES OF ANTIETAM, LLC

Location Address11110 MEDICAL CAMPUS ROAD, SUITE 229Hagerstown, MD 21742

Mailing Address11110 Medical Campus Road, Suite 229Hagerstown, MD 21742 · (301) 665-4531

Phone(301) 665-4531

Fax(301) 790-9103

Organization SubpartNo

Authorized OfficialJoshua RepacCfo · (301) 790-9351

Enumeration DateNovember 8, 2006

Last NPPES UpdateOctober 26, 20225 updates tracked since enumeration

NPPES CertifiedOctober 26, 2022

✔ NPI 1558430843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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

11110 MEDICAL CAMPUS ROAD, 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

Other Providers at the Same Location NPPES 7

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

MR. HAROLD E BUTLER DDS MHA

Dentist (Oral and Maxillofacial Surgery)

11110 MEDICAL CAMPUS ROAD, SUITE 148
HAGERSTOWN, MD 21742

Washington County (240) 313-9660

VICTORIA MARIE SAAH GIFFI MD

Internal Medicine (Hematology & Oncology)

11110 MEDICAL CAMPUS ROAD, SUITE 130
HAGERSTOWN, MD 21742

Washington County (301) 665-4710

BRIAN W. MOYER CRNA

Nurse Anesthetist, Certified Registered

11110 MEDICAL CAMPUS ROAD, SUITE 200
HAGERSTOWN, MD 21742

Washington County (301) 714-4300

DR. SCOTT P WORRELL M.D.

Orthopaedic Surgery (Sports Medicine)

11110 MEDICAL CAMPUS ROAD, SUITE 205
HAGERSTOWN, MD 21742

Washington County (301) 665-4950

CENTERS FOR ADVANCED ORTHOPAEDICS, LLC

Orthopaedic Surgery

11110 MEDICAL CAMPUS ROAD, SUITE 205
HAGERSTOWN, MD 21742

Washington County (301) 665-4950

MRS. KRISTIN M HORMAN DDS

Dentist (General Practice)

11110 MEDICAL CAMPUS ROAD, SUITE 148
HAGERSTOWN, MD 21742

Washington County (240) 313-9660

MR. PER K HOUMANN DDS

Dentist (General Practice)

11110 MEDICAL CAMPUS ROAD, ROBINWOOD DENTAL CTR SUITE 148
HAGERSTOWN, MD 21742

Washington County (240) 313-9660

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 1558430843. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Medical Practices Of Antietam, LLC located?

Medical Practices Of Antietam, LLC is located at 11110 Medical Campus Road Suite 229, Hagerstown, MD 21742. The listed phone number is (301) 665-4531.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam, LLC was last updated on October 26, 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.