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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALTEA MEDICAL MARYLAND LLC
NPI 1588568117
Internal Medicine - Geriatric Medicine in Lonaconing, MD

Active since October 06, 2026
57 JACKSON ST, LONACONING, MD 21539(301) 463-5451 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Altea Medical Maryland Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTEA MEDICAL MARYLAND LLC (NPI 1588568117) is a healthcare organization registered as a geriatric medicine in Lonaconing, Maryland and active in the NPI registry since October 2026. The organization lists Lisa Krueger, Vp Of Rcm And Contracting, as its authorized official.

NPPES Registry Identity

NPI1588568117
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameALTEA MEDICAL MARYLAND LLC
Location Address57 JACKSON STLonaconing, MD 21539-1307
Mailing Address400 E Rivulon Blvd Ste 103Gilbert, AZ 85297-0096
Phone(301) 463-5451
Organization SubpartYes
Authorized OfficialLisa KruegerVp Of Rcm And Contracting · (888) 408-7008
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1588568117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
57 JACKSON ST, Lonaconing, MD 21539
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN MICHAEL BARTIK PTA
Physical Therapy Assistant
57 JACKSON ST
LONACONING, MD 21539
Allegany County (240) 609-9594
MEGAN CHANTEL CUNNINGHAM
Physical Therapist
57 JACKSON ST
LONACONING, MD 21539
Allegany County (240) 580-0858
TRACY LYNN BOOTH X
Occupational Therapy Assistant
57 JACKSON ST
LONACONING, MD 21539
Allegany County (240) 609-9594
JENNA GREEN
Occupational Therapy Assistant
57 JACKSON ST
LONACONING, MD 21539
Allegany County (240) 609-9594
ASHLEY MARIE TAYLOR COTA
Occupational Therapy Assistant
57 JACKSON ST
LONACONING, MD 21539
Allegany County (240) 609-9594
EGLE NURSING HOME MANAGEMENT INC
Skilled Nursing Facility
57 JACKSON ST
LONACONING, MD 21539
Allegany County (301) 463-5451
GENERATIONS REHAB GROUP, LLC
Clinic/Center (Health Service)
57 JACKSON ST
LONACONING, MD 21539
Allegany County (301) 463-5451
FOUNDATION REHAB, INC.
Clinic/Center (Physical Therapy)
57 JACKSON ST
LONACONING, MD 21539
Allegany County (301) 463-5451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Altea Medical Maryland LLC's NPI number?

The NPI number for Altea Medical Maryland LLC is 1588568117. It was assigned to this organization in the NPPES registry on October 6, 2026.

Where is Altea Medical Maryland LLC located?

Altea Medical Maryland LLC is located at 57 Jackson St, Lonaconing, MD 21539. The listed phone number is (301) 463-5451.

What is Altea Medical Maryland LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Altea Medical Maryland LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.