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Medical Practices of Antietam LLC

Vascular & Interventional Radiology Physician in Hagerstown, MD · enumerated 2026 · authorized official Joshua Repac, Cfo.

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

National Provider Identifier

1467391706

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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 143, Hagerstown, MD, 21742
Enumeration date Mar 25, 2026
Last updated in NPPES Apr 2, 2026

Taxonomy & classification

2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Joshua Repac
Title Cfo

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 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.
What type of organization is Medical Practices of Antietam LLC?
Medical Practices of Antietam LLC is registered in NPPES as a Vascular & Interventional Radiology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-02.