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HomeProvidersELISE JOHANNESEN MD

Internal Medicine

ELISE JOHANNESEN MD

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1316383656 · enumerated 2013-05-14 · record updated 2026-03-31. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 711 SL YOUNG BLVD, OKLAHOMA CITY, OK, 73104-5023 (405) 271-4113 Google Maps Apple Maps OpenStreetMap
Practice location 711 SL YOUNG BLVD, OKLAHOMA CITY, OK, 73104-5023 (405) 271-4113 Google Maps Apple Maps OpenStreetMap

Specialties

Internal Medicine 207R00000X · License 30075 OK
Pediatrics 208000000X · License 30075 OK
Internal Medicine 207R00000X · Primary · License R4568 TX

In this directory

OK Oklahoma County Oklahoma City Internal Medicine

Locations and evidence

Practice location OKLAHOMA CITY, OK, 731045023
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.