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ANTIETAM FAMILY HEALTH LLC
NPI 1801600432
Nurse Practitioner - Family in Hagerstown, MD

Active since February 04, 2025
330 FREDERICK ST, HAGERSTOWN, MD 21740(240) 203-8864 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antietam Family Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIETAM FAMILY HEALTH LLC (NPI 1801600432) is a healthcare organization registered as a family in Hagerstown, Maryland and active in the NPI registry since February 2025. The organization lists Mark Anthony Roncone, Owner-provider, as its authorized official.

NPPES Registry Identity

NPI1801600432
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANTIETAM FAMILY HEALTH LLC
Location Address330 FREDERICK STHagerstown, MD 21740-6112
Mailing Address1219 Mount Aetna Rd Ste 201Hagerstown, MD 21742-6550 · (240) 203-8864 · Fax (240) 866-8173
Phone(240) 203-8864
Organization SubpartNo
Authorized OfficialMark Anthony RonconeOwner-provider · (240) 203-8864
Enumeration DateFebruary 4, 2025
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1801600432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
330 FREDERICK ST, 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.

WELLS HOUSE INC
Clinic/Center (Adult Mental Health)
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 739-7748
MRS. KATHLEEN GLADMON LMSW
Social Worker
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 739-7748
MRS. CHRISTINA TRENTON NEE LCSW-C
Social Worker (Clinical)
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 739-7748
BEN EDWARD LOVE ADT
Student in an Organized Health Care Education/Training Program
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 662-7003
WELLS HOUSE, INC
Counselor (Mental Health)
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 739-7748
ANTIETAM FAMILY HEALTH, LLC
Nurse Practitioner (Family)
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (240) 203-8864
WELLS HOUSE INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
330 FREDERICK ST
HAGERSTOWN, MD 21740
Washington County (301) 739-7748

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 Antietam Family Health LLC's NPI number?

The NPI number for Antietam Family Health LLC is 1801600432. It was assigned to this organization in the NPPES registry on February 4, 2025.

Where is Antietam Family Health LLC located?

Antietam Family Health LLC is located at 330 Frederick St, Hagerstown, MD 21740. The listed phone number is (240) 203-8864.

What is Antietam Family Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Antietam Family Health LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.