Elite Medical Services, LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

ELITE MEDICAL SERVICES, LLC

Doing business as

Elite Allergy & Aesthetic Medicine

Practice address

1216 13TH St
Hood River, OR 97031-1612

Phone

(541) 357-7750

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Kayla Nixon, FNP

Title

Ceo

Phone

(626) 423-4693

Specialties & licenses 1

Addresses

Other names 1

• Elite Allergy & Aesthetic Medicine Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1124611280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1786",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311781",
            "telephone_number": "541-357-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311612",
            "telephone_number": "541-357-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-423-4693",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "866-219-8479",
            "affiliation": "N",
            "endpointDescription": "HIPAA Secure Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1216 13th St",
            "city": "Hood River",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970311612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Allergy & Aesthetic Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Allergy & Aesthetic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy Physician in Hood River, OR
• Providers in Hood River, OR by specialty
• Allergy Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.