Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Practices of Antietam, LLC

Organization Orthopaedic Surgery Physician · NPI 1144986233

Medical Practices of Antietam, LLC is an Orthopaedic Surgery Physician in Frederick, Maryland. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

187 Thomas Johnson Dr Ste 1
Frederick, MD 21702-4445
Phone: (301) 378-9421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1144986233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedNovember 12, 2021
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address187 Thomas Johnson Dr Ste 1, Frederick, MD 21702-4445

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