Medical Practices of Antietam LLC
NPI 1114725850ActiveOrganization· Plastic Surgery· Hagerstown, MD
Plastic Surgery in Hagerstown, Maryland, registered in NPPES in March 2025. The authorized official on file is Joshua Repac, Cfo.
Overview
| NPI | 1114725850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2025 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
| Surgery | 208600000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Plastic Surgery providers in Hagerstown
- 1851345482
- 1174731715
- 1245419332
- 1558359653
- 1174888606