Altea Medical Maryland LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

ALTEA MEDICAL MARYLAND LLC

Practice address

57 Jackson St
Lonaconing, MD 21539-1307

Phone

(301) 463-5451

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ALTEA MEDICAL MARYLAND LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Krueger

Title

VP of RCM and Contracting

Phone

(888) 408-7008

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Altea Medical Maryland LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Westminster, MD
  • NPI 1770301277
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1588568117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RIVULON BLVD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JACKSON ST",
            "city": "LONACONING",
            "state": "MD",
            "postal_code": "215391307",
            "telephone_number": "301-463-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTEA MEDICAL MARYLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTEA MEDICAL MARYLAND LLC",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP OF RCM AND CONTRACTING",
        "authorized_official_telephone_number": "888-408-7008"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Bartik, PTA
• Tracy Lynn Booth X
• Morgan Noelle Chaney, M.S. CF-SLP
• Megan Chantel Cunningham
• Department of Juvenile Services (Savage Mountain)

• Geriatric Medicine (Internal Medicine) Physician in Lonaconing, MD
• Providers in Lonaconing, MD by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.