ELISE ANNE JOHNSON MD
NPI 1073373205
Student in an Organized Health Care Education/Training Program in Dayton, OH
About Elise Anne Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE ANNE JOHNSON MD (NPI 1073373205) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elise Anne Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45409
DAYTON, OH 45409
DAYTON, OH 45409
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elise Johnson's NPI number?
The NPI number for Elise Johnson is 1073373205. It was assigned to this individual provider in the NPPES registry on March 22, 2024.
Where is Elise Johnson located?
Elise Johnson practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-8000.
What is Elise Johnson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elise Johnson enrolled in Medicare?
Yes. Elise Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elise Johnson was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elise Anne Johnson, MD · NPI 1073373205
Student in an Organized Health Care Education/Training Program provider in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1073373205 (Entity type: Individual)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 WYOMING ST, Dayton, OH 45409-2722
- **Phone:** (937) 208-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073373205) · Data from the CMS NPPES public registry.