# ELEVATED MEDICAL SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740094887
- **Authorized official:** JOHNATHAN PETERSON PA-C (PA-C)
- **Authorized official phone:** (210) 315-4601

## Contact information

- **Practice address:** 204 E FAIR OAKS PL, ALAMO HEIGHTS, TX 78209-3811
- **Practice address phone:** (210) 315-4601
- **Mailing address:** 204 E FAIR OAKS PL, ALAMO HEIGHTS, TX 78209-3811
- **Mailing address phone:** (210) 315-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/27/2025