ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC – NPI #1780627810
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Pediatrics

ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC is a provider located in HAGERSTOWN, MD. NPPES has assigned the NPI number 1780627810 to ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC on June 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC below.

NPI Profile for
ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC

NPI Number
1780627810
Enumeration Date

(about 20 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
ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC
Primary location
1161 OMEGA DR
HAGERSTOWN, MD 21740-5574
Phone: (301) 393-2600 Fax: (210) 393-2614
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEON WEAVER
PARTNER
Phone: (301) 393-2600
Updated
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
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)		 MD

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.