Medical Practices of Antietam LLC

Organization Active
NPI 1124826862
Neurological Surgery Physician Hagerstown, MD

Medical Practices of Antietam LLC holds NPI 1124826862, with a primary taxonomy of neurological surgery physician and a practice location in Hagerstown, MD. The number was issued on March 7, 2025 and the NPPES record was last updated on March 10, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X Not listed
Nuclear Medicine Physician 207U00000X Not listed
General Practice Physician 208D00000X Not listed

Practice location

11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755
Phone: (301) 790-8750

Local context

Active NPPES records list 23 providers with neurological surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 13 of them within 10 miles.

The same primary taxonomy is listed by 278 in Maryland and 12,004 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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