Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medical Practices of Antietam LLC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1184481459

Medical Practices of Antietam LLC provides Sports Medicine (Internal Medicine) Physician services in Hagerstown, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17301 Valley Mall Rd Ste 125
Hagerstown, MD 21740-6966
Phone: (301) 790-9237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X

Record details

NPI number1184481459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
Other names Meritus Sports Medicine; Meritus Sports Medicine
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address11116 Medical Campus Rd, Hagerstown, MD 21742-6710