1. Home
  2. Directory
  3. Maryland
  4. Hagerstown
  5. Family Medicine
  6. NPI Profile

MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1619775251
Family Medicine in Hagerstown, MD

Active since March 07, 2025
24 N WALNUT ST, HAGERSTOWN, MD 21740(240) 452-3400 Get Directions Write a Review

NPPES record last updated: March 7, 2025. 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 1619775251) is a healthcare organization registered as a family medicine in Hagerstown, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619775251
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address24 N WALNUT STHagerstown, MD 21740-4738
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(240) 452-3400
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1619775251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X
24 N WALNUT ST, Hagerstown, MD 21740
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 20

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

AMBER NICHOLE PECK CRNP
Nurse Practitioner (Family)
24 N WALNUT ST
HAGERSTOWN, MD 21740
Washington County (240) 452-3440
MRS. ANN ELIZABETH BEAUCHAMP CRNP
Nurse Practitioner (Family)
24 N WALNUT ST
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
DR. SARMA METZ-MCCAFFERTY D.D.S.
Dentist (General Practice)
24 N WALNUT ST
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
MRS. CLAIRE A PIERI CRNP-A
Nurse Practitioner (Adult Health)
24 N WALNUT ST, 102
HAGERSTOWN, MD 21740
Washington County (301) 745-3777
STACEY DIANE BLACK LCSW-C
Social Worker (Clinical)
24 N WALNUT ST, SUITE 300
HAGERSTOWN, MD 21740
Washington County (301) 766-7600
SARAH HERSHBERGER
Nurse Practitioner (Primary Care)
24 N WALNUT ST
HAGERSTOWN, MD 21740
Washington County (240) 452-3400
DR. FEI YANG DDS
Dentist (General Practice)
24 N WALNUT ST
HAGERSTOWN, MD 21740
Washington County (301) 393-3447
ISAAC ESENE PA-C
Physician Assistant
24 N WALNUT ST
HAGERSTOWN, MD 21740
Washington County (240) 527-2752

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 1619775251. It was assigned to this organization in the NPPES registry on March 7, 2025.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 24 N Walnut St, Hagerstown, MD 21740. The listed phone number is (240) 452-3400.

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 March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.