Dwayne Johnson MD PSC
NPI 1689701542ActiveOrganization· Pediatrics· Louisville, KY
Pediatrics in Louisville, Kentucky, registered in NPPES in February 2007. The authorized official on file is Dwayne Edward Johnson, M.D., President.
Overview
| NPI | 1689701542 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 28666 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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