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MEDICAL PRACTICES OF ANTIETAM, LLC
NPI 1982424172
Obstetrics & Gynecology in Hagerstown, MD

Active since October 14, 2024
11110 MEDICAL CAMPUS RD STE 107, HAGERSTOWN, MD 21742(301) 714-4100 Get Directions Write a Review

NPPES record last updated: October 14, 2024. 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 1982424172) is a healthcare organization registered as an obstetrics & gynecology in Hagerstown, Maryland and active in the NPI registry since October 2024. The organization lists Joshua Repac, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982424172
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMEDICAL PRACTICES OF ANTIETAM, LLC
Location Address11110 MEDICAL CAMPUS RD STE 107Hagerstown, MD 21742-6734
Mailing Address11110 Medical Campus Rd Ste 107Hagerstown, MD 21742-6734
Phone(301) 714-4100
Organization SubpartNo
Authorized OfficialJoshua RepacCfo · (301) 790-9351
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1982424172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11110 MEDICAL CAMPUS RD STE 107, Hagerstown, MD 21742
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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.

HALEIGH DOANE WHNP-BC
Nurse Practitioner (Women's Health)
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (301) 714-4100
BRIANA WHITBY
Nurse Practitioner (Women's Health)
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (240) 422-4028
SARAH ANDERSON MD
Obstetrics & Gynecology
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (301) 714-4100
ASHLEY TAYLOR RIVERS MD
Family Medicine
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (301) 714-4100
ALONDRA JULIANA BLACK
Midwife
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (301) 714-4100
PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (301) 714-4100
ELIZABETH COLLEEN TAYLOR
Advanced Practice Midwife
11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD 21742
Washington County (301) 714-4100

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 1982424172. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Medical Practices Of Antietam, LLC located?

Medical Practices Of Antietam, LLC is located at 11110 Medical Campus Rd Ste 107, Hagerstown, MD 21742. The listed phone number is (301) 714-4100.

What is Medical Practices Of Antietam, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Medical Practices Of Antietam, LLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.