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Medical Practices of Antietam LLC

Pain Medicine Physician in Hagerstown, MD · enumerated 2025 · authorized official Joshua Repac, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164220703

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Practices of Antietam LLC
Practice address 11110 Medical Campus Rd Ste 225, Hagerstown, MD, 21742
Phone (301) 665-4720
Enumeration date Mar 7, 2025
Last updated in NPPES Mar 7, 2025

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Joshua Repac
Title Cfo
Phone (301) 790-9351

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Medical Practices of Antietam LLC?
Medical Practices of Antietam LLC is registered in NPPES as a Pain Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-07.