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

Dwayne Johnson MD PSC

Organization Pediatrics Physician · NPI 1689701542

Dwayne Johnson MD PSC is a Pediatrics Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2211 Meadow Dr
Louisville, KY 40218-1330
Phone: (502) 458-2577
Fax: (502) 454-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 28666 (KY)

Record details

NPI number1689701542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwayne Johnson — President · (502) 458-2577
Other names Strathmoor Pediatrics
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2211 Meadow Dr, Louisville, KY 40218-1330

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