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

Dr. Dwayne Edward Johnson, MD

Individual provider Pediatrics Physician · NPI 1841379187

Dr. Dwayne Edward Johnson, MD is a Pediatric Medicine in Elkhart, Indiana. Graduated from University of Kentucky College of Medicine in 1983, 43 years ago. Practices as a sole proprietor. Licensed in Indiana and Kentucky.

Years since qualifying
43
Trained at
University of Kentucky College of Medicine
Licensed in
IN, KY
In the registry since
2006
Specialties on file
2
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

236 Simpson Ave
Elkhart, IN 46516-4666
Phone: (574) 584-7373
Fax: (574) 293-3744
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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 01073977A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 28666 (KY)

Record details

NPI number1841379187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address148 W Hively Ave, Suite 1, Elkhart, IN 46517-2191

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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