Elevated Medical Services

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ELEVATED MEDICAL SERVICES

Practice address

204 E Fair Oaks PL
Alamo Heights, TX 78209-3811

Phone

(210) 315-4601

NPI assigned

Feb 6, 2025

Organization subpart

No

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

Authorized official

Name

Johnathan Peterson, PA-C

Title

PA-C

Phone

(210) 315-4601

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1740094887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E FAIR OAKS PL",
            "city": "ALAMO HEIGHTS",
            "state": "TX",
            "postal_code": "782093811",
            "telephone_number": "210-315-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E FAIR OAKS PL",
            "city": "ALAMO HEIGHTS",
            "state": "TX",
            "postal_code": "782093811",
            "telephone_number": "210-315-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "210-315-4601",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Temitope Ajayi
• Sandra Y Alaniz, LPC
• CVS Pharmacy Inc
• Carrie Lynn Dodrill, PH.D.
• Whitney Dominguez, LMFT
• Morgan Jean Fernandez, APRN, PMHNP-BC
• Cathryn Evans Grigsby, LCSW
• Thomas Michael Hageman, DNP, PMHNP-BC, RN
• Britain Leigh Hayes
• Wardell Brian Hollis, PMHNP-BC

• Physician Assistant in Alamo Heights, TX
• Providers in Alamo Heights, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.