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

Medical Practices of Antietam LLC

Organization Family Medicine Physician · NPI 1407792708

Medical Practices of Antietam LLC provides Family Medicine Physician services in Hagerstown, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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

11110 Medical Campus Rd Ste 229
Hagerstown, MD 21742-6727
Phone: (301) 790-9072
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1407792708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedApril 28, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address11116 Medical Campus Rd, Hagerstown, MD 21742-6710

Other providers in Hagerstown