MEDICAL PRACTICES OF ANTIETAM LLC - NPI 1710854963 - Clinic/Center in Hagerstown, MD

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

The NPI number for Medical Practices Of Antietam LLC is 1710854963. It was assigned to this organization in the NPPES registry on October 22, 2025.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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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 1710854963) is a healthcare organization registered as a clinic/center in Hagerstown, Maryland and active in the NPI registry since October 2025. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710854963

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMEDICAL PRACTICES OF ANTIETAM LLC

Location Address11110 MEDICAL CAMPUS RDHagerstown, MD 21742-6700

Mailing Address11110 Medical Campus RdHagerstown, MD 21742-6700

Phone(301) 790-8000

Organization SubpartNo

Authorized OfficialJoshua RepacCfo · (301) 790-9351

Enumeration DateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1710854963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11110 MEDICAL CAMPUS RD, Hagerstown, MD 21742

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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.

JEANNE MOYER PHYSICAL THERAPY

Physical Therapist

11110 MEDICAL CAMPUS RD, 201
HAGERSTOWN, MD 21742

Washington County (301) 714-4025

JURIS G. EYLER PA-S

Physician Assistant

11110 MEDICAL CAMPUS RD, SUITE 205
HAGERSTOWN, MD 21742

Washington County (301) 665-4950

MRS. JULIE DIANE CATHOR P.A. - C

Physician Assistant (Medical)

11110 MEDICAL CAMPUS RD, SUITE 100
HAGERSTOWN, MD 21742

Washington County (240) 313-9640

TOBI SMITH OCCUPATIONAL THERAPY

Occupational Therapist

11110 MEDICAL CAMPUS RD, 201
HAGERSTOWN, MD 21742

Washington County (301) 714-4025

KRISTIN L WEAVER PTA

Physical Therapy Assistant

11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742

Washington County (301) 665-4970

MATTHEW SCOTT TROYER DO

Student in an Organized Health Care Education/Training Program

11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742

Washington County (301) 790-8000

DR. JAMES E CREMINS M.D.

Internal Medicine (Gastroenterology)

11110 MEDICAL CAMPUS RD, SUITE 242
HAGERSTOWN, MD 21742

Washington County (240) 382-3783

SUSAN AKRIDGE RN, CDE

Registered Nurse (Diabetes Educator)

11110 MEDICAL CAMPUS RD, SUTIE 108
HAGERSTOWN, MD 21742

Washington County (301) 714-4041

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 1710854963. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Medical Practices Of Antietam LLC located?

Medical Practices Of Antietam LLC is located at 11110 Medical Campus Rd, Hagerstown, MD 21742. The listed phone number is (301) 790-8000.

What is Medical Practices Of Antietam LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.