MEDICAL PRACTICES OF ANTIETAM LLC NPI 1194523738

NPI Information

  • NPI: 1194523738
  • Provider Name: MEDICAL PRACTICES OF ANTIETAM LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 400 W 7TH ST
    FREDERICK, MD
    ZIP 21701
  • Phone: (301) 790-8000

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NPI Details

MEDICAL PRACTICES OF ANTIETAM LLC is a surgery in Frederick, MD. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MEDICAL PRACTICES OF ANTIETAM LLC NPI is 1194523738. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 W 7TH ST
FREDERICK, MD
ZIP 21701-506
Phone: (301) 790-8000

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 3/7/2025 and was last updated on 3/7/2025.

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
1208600000XSurgeryYes
2208D00000XGeneral PracticeNo

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: 3/30/2025

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