John K Wildemore Iv (NPI# 1295712487, PAC ID# 8729988555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1295712487 |
| PAC ID by PECOS | 8729988555 |
| Professional Enrollment ID | I20040109000407 |
| Full Name | John K Wildemore Iv |
| Organization Legal Name | JOHN K. WILDEMORE, MD, LLC |
| Address |
744 W Lancaster Ave Suite 230 Wayne PA 19087-2551 |
| Phone Number | 6106888750 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1996 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5698775104 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2551 | 6106888750 | JOHN K. WILDEMORE, MD, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Organization Legal Name | JOHN K. WILDEMORE, MD, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joelle E Mcnulty-sell | Physician Assistant | John K. Wildemore, Md, LLC | 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2551 |
| Seana-patrice P Covello | Dermatology | John K. Wildemore, Md, LLC | 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2551 |
| Street Address |
744 W LANCASTER AVE SUITE 230 |
| City | WAYNE |
| State | PA |
| Zip | 19087-2551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Cross | Plastic and Reconstructive Surgery | 744 W Lancaster Ave, Suite 100, Wayne, PA 19087-2552 | |
| Theodore Albert Glazer | Chiropractic | 744 W Lancaster Ave, Suite 105, Wayne, PA 19087-2552 | |
| Joelle E Mcnulty-sell | Physician Assistant | John K. Wildemore, Md, LLC | 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2551 |
| Seana-patrice P Covello | Dermatology | John K. Wildemore, Md, LLC | 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary W Rendina | Chiropractic | 136 Anthony Wayne Dr, Wayne, PA 19087-1428 | |
| Michael A Nocito | Chiropractic | 1100 W Valley Rd, Wayne, PA 19087-1447 | |
| Robert C Mcgrath | Family Practice | Atlantic Spine and Joint Institute | 101 E Swedesford Rd, Wayne, PA 19087-1455 |
| Paulo M Correa-meyer | Ophthalmology | 1107 W Valley Rd, Wayne, PA 19087-1466 | |
| Alexandr G Zilber | Anesthesiology | Laser Spine Institute LLC | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622 |
| Cynthia A Krapels | Nurse Practitioner | Laser Spine Institute LLC | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622 |
| Jade Lee | Nurse Practitioner | Laser Spine Institute LLC | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622 |
| Catherine Steger | Nurse Practitioner | Laser Spine Institute LLC | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622 |
| Megan E Ulmer | Nurse Practitioner | Laser Spine Institute LLC | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1622 |
| Kyle S Naylor | Chiropractic | Life Clinic of Pa PC | 700 E Swedesford Rd, Wayne, PA 19087-1633 |
| Find all physicians in zip 19087 | |||
| City | WAYNE |
| Zip Code | 19087 |
| Specialty | DERMATOLOGY |
| City + Specialty | WAYNE + DERMATOLOGY |
Please comment or provide details below to improve the information on John K Wildemore Iv.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.