Dwayne Johnson Md Psc
Pediatrics
Dwayne Johnson Md Psc is a Louisville, Kentucky based Pediatric center with medical specialization in
General Pediatrics. Dwayne Johnson Md Psc is doing business as
Strathmoor Pediatrics.
It is located at
2211 Meadow Dr, Louisville, Kentucky - 40218-1330. They can be contacted on phone at
502-458-2577 and fax number 502-454-0105.
NPI number (Unique professional ID) for Dwayne Johnson Md Psc is
1689701542 which was assigned by NPPES on 27 Feb, 2007 and it was last updated on 22 Aug, 2020.
Dwayne Johnson Md Psc license number is
28666 for Pediatrics (208000000X) in Kentucky.
Dwayne Johnson Md Psc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dwayne Johnson Md Psc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dwayne Johnson Md Psc |
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| Other Name : | Strathmoor Pediatrics |
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Business Address:
Dwayne Johnson Md Psc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2211 Meadow Dr
Louisville, KY, 40218-1330
United States |
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| Phone Number : | 502-458-2577 |
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| Fax Number : | 502-454-0105 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689701542 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Feb, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Dwayneedward Johnson |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 502-458-2577 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dwayne Johnson Md Psc are as mentioned. Primary taxonomy code for Dwayne Johnson Md Psc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 28666 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dwayne Johnson Md Psc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6594322700 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2211 Meadow Dr
Louisville, KY, 40218-1330
United States |
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| Phone Number : | 502-458-2577 |
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| Fax Number : | 502-454-0105 |
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Business Location:
Patients can refer following map for directions to
Dwayne Johnson Md Psc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.