Provider Type Icon

MEDICAL PRACTICES OF ANTIETAM LLC NPI 1184481459


NPI Information

NPI: 1184481459
Provider Name: MEDICAL PRACTICES OF ANTIETAM LLC

Doing Business As: MERITUS SPORTS MEDICINE

Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 790-9237
Get Directions

MEDICAL PRACTICES OF ANTIETAM LLC is a sports medicine internal medicine in Hagerstown, MD. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. MEDICAL PRACTICES OF ANTIETAM LLC NPI is 1184481459. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Meritus Sports Medicine.

The provider's business location address is:

17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD
ZIP 21740-966
Phone: (301) 790-9237

The provider's authorized official is Joshua Repac .
The authorized official title is Cfo and has the following contact phone number (301) 790-9351.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 3/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RS0010XInternal MedicineSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.