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STRATHMOOR PEDIATRICS
NPI 1689701542
Pediatrics in Louisville, KY

Active since February 27, 2007
2211 MEADOW DR, LOUISVILLE, KY 40218(502) 458-2577(502) 454-0105 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Strathmoor Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STRATHMOOR PEDIATRICS (NPI 1689701542) is a healthcare organization registered as a pediatrics in Louisville, Kentucky and active in the NPI registry since February 2007. The organization lists Dwayne Edward Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1689701542
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDWAYNE JOHNSON MD PSC
Location Address2211 MEADOW DRLouisville, KY 40218-1330
Mailing Address2211 Meadow DrLouisville, KY 40218-1330 · (502) 458-2577 · Fax (502) 454-0105
Phone(502) 458-2577
Fax(502) 454-0105
Organization SubpartNo
Authorized OfficialDwayne Edward JohnsonPresident · (502) 458-2577
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689701542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 28666
Definition
A pediatrician 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.
2211 MEADOW DR, Louisville, KY 40218
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Other Names 1

Doing Business AsStrathmoor Pediatrics

Other Identifiers 1

Medicaid6594322700KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dwayne Johnson MD Psc's NPI number?

The NPI number for Dwayne Johnson MD Psc is 1689701542. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Strathmoor Pediatrics.

Where is Dwayne Johnson MD Psc located?

Dwayne Johnson MD Psc is located at 2211 Meadow Dr, Louisville, KY 40218. The listed phone number is (502) 458-2577.

What is Dwayne Johnson MD Psc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Dwayne Johnson MD Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.