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

Medical Practices of Antietam, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1518686229

Medical Practices of Antietam, LLC is an Ambulatory Surgical Clinic/Center in Hagerstown, Maryland. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

11110 Medical Campus Rd Ste 241
Hagerstown, MD 21742-6756
Phone: (301) 714-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Point of Service Taxonomy 305S00000X

Record details

NPI number1518686229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
Other names Meritus Cosmetic And Plastic Surgery Center
NPI enumeratedAugust 25, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address11110 Medical Campus Rd Ste 241, Hagerstown, MD 21742-6756

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