Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNNY LEE GERARDOT JR., MD
ActiveDR. JOHNNY LEE GERARDOT JR., MD is a Family Medicine healthcare provider located in MISHAWAKA, Indiana. NPI 1336673037 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MISHAWAKA, IN
Registration Details
- NPI Number
- 1336673037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2017 (9.3190587948461 yrs)
- Last Updated
- Feb 20, 2026
- License
-
01084004A (IN)
Practice Information
- Address
-
5314 LINCOLNWAY EMISHAWAKA, IN, 465444249Browse IN providers · Browse ZIP 46544
- Phone
- 5745842812
- Fax
- 5745842813
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| DR. DEBRA R MCCLAIN | M.D. | 1487657896 |
| DR. JOSEPH MICHAEL CARUSO | M.D. | 1598763203 |
| DR. ROBERT R. VANDERZWAAG JR. | M.D. | 1811996846 |
| DR. CHARLES E MYERS | M.D. | 1891781852 |
| DR. ELIZABETH A LINDENMAN | MD | 1528058088 |
| DR. ARTHUR F WANG | MD | 1861474116 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.