MEDICAL PRACTICES OF ANTIETAM LLC – NPI #1265275341
Emergency Medicine

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Health Care Provider Taxonomy Code for Emergency Medicine

MEDICAL PRACTICES OF ANTIETAM LLC is a provider located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1265275341 to MEDICAL PRACTICES OF ANTIETAM LLC on June 17, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207PS0010X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL PRACTICES OF ANTIETAM LLC below.

NPI Profile for
MEDICAL PRACTICES OF ANTIETAM LLC

NPI Number
1265275341
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL PRACTICES OF ANTIETAM LLC
Primary location
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740-6966
Phone: (301) 790-9237 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSHUA REPAC
CFO
Phone: (301) 790-9351
Updated
Certification Date
Jun 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PS0010X
- Emergency Medicine / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.