MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1992695480
Otolaryngology in Hagerstown, MD

NPI Status: Active since July 07, 2025

Contact Information

11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 790-8000

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  • Organization
  • Otolaryngology

About MEDICAL PRACTICES OF ANTIETAM LLC

This page provides the complete NPI Profile along with additional information for Medical Practices Of Antietam Llc, a provider established in Hagerstown, Maryland operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1992695480 assigned on July 2025. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Medical Practices Of Antietam Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joshua Repac (Cfo)

NPI
1992695480
Provider Name
MEDICAL PRACTICES OF ANTIETAM LLC
Entity Type
Organization
Location Address
11110 MEDICAL CAMPUS RD STE 250 HAGERSTOWN, MD 21742
Location Phone
(301) 790-8000
Mailing Address
11110 MEDICAL CAMPUS RD STE 250 HAGERSTOWN, MD 21742
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2025
Last Update Date
07-07-2025
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

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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 1992695480, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 9 → 18 → 9 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 1 + 2 + 9 + 1 + 0 + 4 + 1 + 6 + 24 = 70

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

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1992695480.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physician Assistant
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Otolaryngology
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Audiologist
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992695480, enumerated as an "organization" on July 07, 2025.

The provider is located at 11110 MEDICAL CAMPUS RD STE 250 HAGERSTOWN, MD 21742 and the phone number is (301) 790-8000.

Otolaryngology with taxonomy code 207Y00000X.