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MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1669270203
Surgery in Hagerstown, MD

Active since March 07, 2025
1110 PROFESSIONAL CT, HAGERSTOWN, MD 21740(240) 420-5559 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 1669270203) is a healthcare organization registered as a surgery 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

NPI1669270203
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC
Location Address1110 PROFESSIONAL CTHagerstown, MD 21740-5826
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710
Phone(240) 420-5559
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1669270203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1110 PROFESSIONAL CT, Hagerstown, MD 21740
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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.

LANORVELL ROBERTSON CRNA
Nurse Anesthetist, Certified Registered
1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740
Washington County (240) 420-5559
SLEEPMED THERAPIES, INC.
Durable Medical Equipment & Medical Supplies
1110 PROFESSIONAL CT, SUITE 103-B
HAGERSTOWN, MD 21740
Washington County (240) 420-2801
DR. SHARI LYNN HALL M.D.
Anesthesiology
1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740
Washington County (240) 420-3786
MERITUS MEDICAL CENTER INC
Dietitian, Registered
1110 PROFESSIONAL CT, SUITE 201
HAGERSTOWN, MD 21740
Washington County (301) 714-4432
DIGITRACE CARE SERVICES, INC.
Clinic/Center (Sleep Disorder Diagnostic)
1110 PROFESSIONAL CT, SUITE 103-A
HAGERSTOWN, MD 21740
Washington County (978) 536-7400
DR. KARL P RIGGLE MD
Surgery
1110 PROFESSIONAL CT, STE 101
HAGERSTOWN, MD 21740
Washington County (240) 513-4601
MR. TIMOTHY ANDREW SANTANA CRNA
Nurse Anesthetist, Certified Registered
1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740
Washington County (240) 420-5559

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 1669270203. 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 1110 Professional Ct, Hagerstown, MD 21740. The listed phone number is (240) 420-5559.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.