Dr Dwayne Edward Johnson, MD | |
236 Simpson Ave, Elkhart, IN 46516-4666 | |
(574) 584-7373 | |
(574) 293-3744 |
Full Name | Dr Dwayne Edward Johnson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 236 Simpson Ave, Elkhart, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841379187 | NPI | - | NPPES |
611336483 | Other | COMMONWEALTH HEALTH ALLIA | |
611336483 | Other | MAIL HANDLERS BENEFIT PLA | |
611336483 | Other | PPONEXT | |
642886669 | Medicaid | KY | |
200287610B | Medicaid | IN | |
611336483 | Other | UNITED HEALTHCARE | |
2435769000 | Other | PASSPORT ADVANTAGE | |
611336483 | Other | HUMANA HEALTH PLAN, INC. | |
1087687 | Other | PASSPORT HEALTH PLAN | |
611336483 | Other | PREFERRED HEALTH PLAN | |
000000052119 | Other | ANTHEM | |
2133380 | Other | AETNA | |
611336483 | Other | 4MOST HEALTH NETWORK | |
87043 | Other | FIRST HEALTH NETWORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01073977A (Indiana) | Primary |
208000000X | Pediatrics | 28666 (Kentucky) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Dwayne Edward Johnson, MD 148 W Hively Ave, Suite 1, Elkhart, IN 46517-2191 Ph: (574) 350-2500 | Dr Dwayne Edward Johnson, MD 236 Simpson Ave, Elkhart, IN 46516-4666 Ph: (574) 584-7373 |
Dr. Shahir Okhovat-ghahfarokhi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-389-4879 | |
Dr. Su Choo Chang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-389-4879 | |
Christine Mamphey Dankwa, M.D., M.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052 Fax: 514-970-3256 | |
Sandra H. Morgan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163 | |
Emily Marie Kisor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 | |
Jody L Srof, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163 | |
Jared Ray Dhaemers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163 |