MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1710700042
Obstetrics & Gynecology - Gynecology in Hagerstown, MD

NPI Status: Active since November 05, 2024

Contact Information

11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 791-5555

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  • Organization
  • Obstetrics & Gynecology
  • Gynecology

About MEDICAL PRACTICES OF ANTIETAM LLC

This page provides the complete NPI Profile along with additional information for Medical Practices Of Antietam Llc, a women's health care provider established in Hagerstown, Maryland operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1710700042 assigned on November 2024. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Joshua Repac (Cfo)

NPI
1710700042
Provider Name
MEDICAL PRACTICES OF ANTIETAM LLC
Entity Type
Organization
Location Address
11110 MEDICAL CAMPUS RD STE 147 HAGERSTOWN, MD 21742
Location Phone
(301) 791-5555
Mailing Address
1130 PROFESSIONAL CT HAGERSTOWN, MD 21740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2024
Last Update Date
03-10-2026
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Women's health care providers like Medical Practices Of Antietam Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSHUA REPAC

Authorized Official Title
CFO
Authorized Official Phone
(301) 790-9351

Reviews for MEDICAL PRACTICES OF ANTIETAM LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710700042, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 4 + 0 + 0 + 0 + 8 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1710700042.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Surgery
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Physician Assistant (Medical)
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Physician Assistant
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Physician Assistant
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Surgery
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Physician Assistant
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Physician Assistant
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Nurse Practitioner (Acute Care)
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Clinic/Center (Urgent Care)
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
General Practice
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Surgery
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742
Neurological Surgery
11110 MEDICAL CAMPUS RD STE 147
HAGERSTOWN, MD 21742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710700042, enumerated as an "organization" on November 05, 2024.

The provider is located at 11110 MEDICAL CAMPUS RD STE 147 HAGERSTOWN, MD 21742 and the phone number is (301) 791-5555.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.