ALTEA MEDICAL MISSOURI LLC – NPI #1649032608
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

ALTEA MEDICAL MISSOURI LLC is a provider located in WILDWOOD, MO. NPPES has assigned the NPI number 1649032608 to ALTEA MEDICAL MISSOURI LLC on January 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Nov 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTEA MEDICAL MISSOURI LLC below.

NPI Profile for
ALTEA MEDICAL MISSOURI LLC

NPI Number
1649032608
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTEA MEDICAL MISSOURI LLC
Primary location
1441 CHARIC DR
WILDWOOD, MO 63021-2001
Phone: (888) 408-7008 Fax:
Mailing address
400 E RIVULON BLVD STE 103
GILBERT, AZ 85297-0096
Phone: Fax:
Organization Subpart
No
Authorized Official
LISA KRUEGER
VP OF REVENUE CYCLE AND CONTRACTING
Phone: (888) 408-7008
Updated
Certification Date
Nov 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
208100000X
- Physical Medicine & Rehabilitation
207R00000X
- Internal Medicine
207QA0505X
- Family Medicine / Adult Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.