Individual
ELISE JOHANNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104-5023
(405) 271-4113
Mailing address
711 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104-5023
(405) 271-4113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30075
OK
207R00000X
Internal Medicine Physician
Primary
R4568
TX
208000000X
Pediatrics Physician
30075
OK
Other
Enumeration date
05/14/2013
Last updated
03/31/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us