MEDICAL PRACTICES OF ANTIETAM LLC – NPI #1992695480
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

MEDICAL PRACTICES OF ANTIETAM LLC is an otolaryngologist located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1992695480 to MEDICAL PRACTICES OF ANTIETAM LLC on July 07, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

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
1992695480
Enumeration Date

(about a year 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
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742-6756
Phone: (301) 790-8000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSHUA REPAC
CFO
Phone: (301) 790-9351
Updated
Certification Date
Jul 07, 2025

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
207Y00000X
- Otolaryngology (Primary)
231H00000X
- Audiologist

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.