Antietam Pediatric and Adolescent Care, LLC
NPI 1780627810 · Pediatric Adolescent Medicine Physician · Hagerstown, MD
Antietam Pediatric and Adolescent Care, LLC is a Pediatric Adolescent Medicine Physician organization in Hagerstown, MD (NPI 1780627810).
Provider details
- NPI number
- 1780627810
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leon Weaver, Partner(301) 393-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2022-07-21
Frequently asked questions
- What is Antietam Pediatric and Adolescent Care, LLC's NPI number?
- Antietam Pediatric and Adolescent Care, LLC's National Provider Identifier (NPI) is 1780627810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antietam Pediatric and Adolescent Care, LLC?
- Antietam Pediatric and Adolescent Care, LLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Antietam Pediatric and Adolescent Care, LLC located?
- Antietam Pediatric and Adolescent Care, LLC's practice location on file with NPPES is 1161 Omega Dr, Hagerstown, MD 21740-5574.
- What is Antietam Pediatric and Adolescent Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Antietam Pediatric and Adolescent Care, LLC is (301) 393-2600.
- Who is the authorized official for Antietam Pediatric and Adolescent Care, LLC?
- The authorized official listed on Antietam Pediatric and Adolescent Care, LLC's NPPES record is Leon Weaver, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antietam Pediatric and Adolescent Care, LLC's NPI active?
- Yes — Antietam Pediatric and Adolescent Care, LLC's NPI (1780627810) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.