Medical Practices of Antietam LLC

Organization Active
NPI 1306644042
Urology Physician Hagerstown, MD

Medical Practices of Antietam LLC holds NPI 1306644042, with a primary taxonomy of urology 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 7, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X Not listed
Nuclear Medicine Physician 207U00000X Not listed
General Practice Physician 208D00000X Not listed

Practice location

11110 Medical Campus Rd Ste 228
Hagerstown, MD 21742-6727
Phone: (301) 733-0022

Local context

Active NPPES records list 42 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 12 of them within 10 miles.

The same primary taxonomy is listed by 468 in Maryland and 19,364 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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