MEDICAL PRACTICES OF ANTIETAM LLC
NPI 1508664145
Family Medicine in Smithsburg, MD
NPI Status: Active since March 07, 2025
Contact Information
22911 JEFFERSON BLVD
SMITHSBURG, MD
ZIP 21783
Phone: (301) 824-3343
- Organization
- Family Medicine
About MEDICAL PRACTICES OF ANTIETAM LLC
This page provides the complete NPI Profile along with additional information for Medical Practices Of Antietam Llc, a primary care provider established in Smithsburg, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1508664145 assigned on March 2025. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated March 2025. Medical Practices Of Antietam Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Joshua Repac (Cfo)
- NPI
- 1508664145
- Provider Name
- MEDICAL PRACTICES OF ANTIETAM LLC
- Entity Type
- Organization
- Location Address
- 22911 JEFFERSON BLVD SMITHSBURG, MD 21783
- Location Phone
- (301) 824-3343
- Mailing Address
- 11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2025
- Last Update Date
- 03-07-2025
- Code Navigator
A primary care provider (PCP) like Medical Practices Of Antietam Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 6 | 6 | 4 | 1 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 12 | 6 | 8 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 2 + 6 + 8 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1508664145 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366407975 | DR. BRIAN K. BONHAM M.D. Individual | Pediatrics | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1326003666 | DR. WILLIAM B KERNS M.D. Individual | Pediatrics | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1861457079 | DR. GAIL M CALLAWAY M.D. Individual | Internal Medicine | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1376524447 | JENNIFER LYNN NUNNELEE PA Individual | Physician Assistant | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1316508773 | TAYLOR B JAMES Individual | Physician Assistant | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1801379490 | BRYAN JEFFREY PERALTA Individual | Nurse Practitioner (Acute Care) | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1548295587 | SUSANNA M. GOHEEN M.D. Individual | Internal Medicine | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1407173610 | DR. DIPTI MOHANLAL MISTRY MD Individual | Internal Medicine | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1144290321 | BRADLEY INGRAM PAC Individual | Physician Assistant (Medical) | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1740250125 | DR. MICHAEL W COSTELLO MD Individual | Family Medicine | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1588243687 | JASMINE KAUR GULATI DO Individual | Family Medicine | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
| 1689206088 | STEPHANIE MAXSELL Individual | Physician Assistant | 22911 JEFFERSON BLVD SMITHSBURG, MD 21783 (301) 824-3343 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508664145, enumerated in the NPI registry as an "organization" on March 07, 2025
The provider is located at 22911 Jefferson Blvd Smithsburg, Md 21783 and the phone number is (301) 824-3343
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
This NPI record was last updated on March 07, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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