Active NPI
Altea Medical Maryland LLC
- Geriatric Medicine (Internal Medicine) Physician
- Cumberland, MD
National Provider Identifier
1801790415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- ALTEA MEDICAL MARYLAND LLC
- Practice address
- 730 Furnace St
Cumberland, MD 21502-1564 - Phone
- (301) 777-5941
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- Yes
- Parent organization
- ALTEA MEDICAL MARYLAND LLC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU | Primary |
Addresses
Primary practice location
730 Furnace St
Cumberland, MD 21502-1564
Mailing address
400 E Rivulon Blvd Ste 103
Gilbert, AZ 85297-0096
Phone (888) 408-7008
Ownership & related parties
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
NPI Registry JSON
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": "1801790415",
"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",
"telephone_number": "888-408-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 FURNACE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021564",
"telephone_number": "301-777-5941"
}
],
"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": []
}
Other providers in Cumberland, MD
- Allegany Respiratory Associates LLC
- Allegany Rheumatology Center LLC
- Allegany Surgical Associates
- Allegheny Pain Management, PC
- Alpert's Medical Equipment & Supply
- Alternative Drug and Alcohol Counseling
- Diana Johnson Amann, MSW, LCSW
- Jacquelyn Ambrogio, RD
- Gina Ambrose, D.O.
- Ambulatory Urology Surgical Center LLC
Sources for this page
- 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.