MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1659179299
Orthopaedic Surgery in Frederick, MD

Active since March 07, 2025
187 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 378-9421 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1659179299) is a healthcare organization registered as an orthopaedic surgery in Frederick, Maryland and active in the NPI registry since March 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1659179299
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address187 THOMAS JOHNSON DRFrederick, MD 21702-4503
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1659179299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedGeneral PracticeTaxonomy 208D00000X
187 THOMAS JOHNSON DR, Frederick, MD 21702

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.

Prosthetic/Orthotic Supplier
187 THOMAS JOHNSON DR, SUITE 3
FREDERICK, MD 21702
Occupational Therapist (Pediatrics)
187 THOMAS JOHNSON DR, SUITE 6
FREDERICK, MD 21702
Physical Therapist
187 THOMAS JOHNSON DR, SUITE 6
FREDERICK, MD 21702
Orthopaedic Surgery
187 THOMAS JOHNSON DR, SUITE 1
FREDERICK, MD 21702
Durable Medical Equipment & Medical Supplies
187 THOMAS JOHNSON DR, #1
FREDERICK, MD 21702
Specialist
187 THOMAS JOHNSON DR, SUITE 7
FREDERICK, MD 21702
Physical Therapist
187 THOMAS JOHNSON DR, SUITE 6
FREDERICK, MD 21702
Physical Therapist
187 THOMAS JOHNSON DR, SUITE 6
FREDERICK, MD 21702

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 1659179299. 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 187 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 378-9421.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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 with the weekly NPPES data releases published by CMS.