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

Medical Practices of Antietam LLC

Organization Obesity Medicine (Internal Medicine) Physician · NPI 1427856061

Medical Practices of Antietam LLC is an Obesity Medicine (Internal Medicine) Physician in Hagerstown, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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 143
Hagerstown, MD 21742-6755
Phone: (301) 714-4350
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1427856061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address11116 Medical Campus Rd, Hagerstown, MD 21742-6710