Individual provider · Type 1 NPI

Michael A. Nissenbaum, MD

Diagnostic Radiology Physician · Oklahoma City, OK

NPI number 1356328975 Active

Practice location

940 NE 13th St # 3G3210
Oklahoma City, OK 73104-5008

Call (405) 271-5125 Map

Fax (405) 271-3462

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice locations

  • 101 Hospital Center Blvd, Stafford, VA 22554-6200 · (540) 741-5610
  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 · (952) 595-1100
  • 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 · (540) 741-5610
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 · (603) 650-5000
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-5349 · (615) 322-3000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X25IA12454600 (NJ)
Diagnostic Radiology Physician 2085R0202X0101287300 (VA)
Diagnostic Radiology Physician 2085R0202X305724 (LA)
Diagnostic Radiology Physician 2085R0202X042.0007498 (VT)
Diagnostic Radiology Physician 2085R0202XEL31162 (NH)
Diagnostic Radiology Physician Primary 2085R0202X46969 (OK)
Diagnostic Radiology Physician 2085R0202X72052 (TN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

8 other providers at this address

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About NPI 1356328975

Michael A. Nissenbaum, MD's National Provider Identifier is 1356328975, issued on Dec 23, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 20, 2026.