OrganizationActive
Dwayne Johnson MD Psc
NPI 1689701542 · Pediatrics Physician · Louisville, KY
Dwayne Johnson MD Psc is a Pediatrics Physician organization in Louisville, KY (NPI 1689701542).
Provider details
- NPI number
- 1689701542
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwayne Johnson, President(502) 458-2577
- License
- 28666 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2211 Meadow Dr
Louisville, KY 40218-1330
Phone: (502) 458-2577
Fax: (502) 454-0105
Street-level locationGet directions
Mailing address
2211 Meadow Dr
Louisville, KY 40218-1330
Other names (DBA / former)
- Doing business as
- Strathmoor Pediatrics
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dwayne Johnson MD Psc's NPI number?
- Dwayne Johnson MD Psc's National Provider Identifier (NPI) is 1689701542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dwayne Johnson MD Psc?
- Dwayne Johnson MD Psc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Dwayne Johnson MD Psc located?
- Dwayne Johnson MD Psc's practice location on file with NPPES is 2211 Meadow Dr, Louisville, KY 40218-1330.
- What is Dwayne Johnson MD Psc's phone number?
- The practice phone number listed in the NPPES registry for Dwayne Johnson MD Psc is (502) 458-2577.
- Who is the authorized official for Dwayne Johnson MD Psc?
- The authorized official listed on Dwayne Johnson MD Psc's NPPES record is Dwayne Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dwayne Johnson MD Psc's NPI active?
- Yes — Dwayne Johnson MD Psc's NPI (1689701542) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.