Dwayne Edward Johnson in Elkhart - Pediatrics
Dwayne Edward Johnson - NPI 1841379187
Dwayne Edward Johnson is a Pediatrics in Elkhart, Indiana. Dwayne Edward Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dwayne Edward Johnson is 1841379187. The last update date is 2023-11-03.
Dwayne Edward Johnson's current location address is 236 Simpson Ave, Elkhart, Indiana. You can contact this provider via phone number 5745847373 and fax number 5742933744. The mailing address for Dwayne Edward Johnson is 236 Simpson Ave, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Edward Johnson |
|---|---|
| Address | 236 Simpson Ave, Elkhart, Indiana |
| Phone Number | 5745847373 |
| Fax Number | 5742933744 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1841379187 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2023-11-03 |
Provider Mailing Address Detail
| Address | 236 Simpson Ave |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465164666 |
| Phone Number | 5745847373 |
| Fax Number | 5742933744 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 01073977A |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 611336483 | COMMONWEALTH HEALTH ALLIA | ||
| 611336483 | MAIL HANDLERS BENEFIT PLA | ||
| 611336483 | PPONEXT | ||
| 642886669 | KY | -- | |
| 200287610B | IN | -- | |
| 611336483 | UNITED HEALTHCARE | ||
| 2435769000 | PASSPORT ADVANTAGE | ||
| 611336483 | HUMANA HEALTH PLAN, INC. | ||
| 1087687 | PASSPORT HEALTH PLAN | ||
| 611336483 | PREFERRED HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Dwayne Edward Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Dwayne Edward Johnson has been assigned the NPI (National Provider Identifier) 1841379187. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Dwayne Edward Johnson's facilities are geographically located?
The facilities of Dwayne Edward Johnson are physically situated at the following location: 236 Simpson Ave, Elkhart, IN, 465164666.
What is the Dwayne Edward Johnson's specialty and taxonomy code?
The Dwayne Edward Johnson's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did the Dwayne Edward Johnson receive its 1841379187?
The Dwayne Edward Johnson was issued its 1841379187 on 2006-11-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Dwayne Edward Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dwayne Edward Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-03.