Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenna Wong Johnson, MD

Individual provider Family Medicine Physician · NPI 1013571256

Glenna Wong Johnson, MD is a Family Practice in Tulsa, Oklahoma. Qualified in 2019, 7 years ago. Practices with Usacs Observation Medicine Services of Oklahoma, LLC, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5635 N Mlk Jr Blvd
Tulsa, OK 74126-6409
Phone: (918) 398-9460
Fax: (918) 992-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 940 E 36th St N, Tulsa, OK 74106-1953 — (918) 398-9460

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34716 (OK)

Record details

NPI number1013571256
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address7501 Riverside Pkwy, Tulsa, OK 74136-5056

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Usacs Observation Medicine Services Of Oklahoma, Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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