Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John K Wildemore IV, MD

Individual provider Dermatology Physician · NPI 1295712487

Dr. John K Wildemore IV, MD is a Dermatology in Wayne, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 1996, 30 years ago. Practices with John K. Wildemore, MD, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
30
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

744 W Lancaster Ave Ste 230
Wayne, PA 19087-2523
Phone: (610) 688-8750
Fax: (610) 688-8751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD423121 (PA)

Record details

NPI number1295712487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1996 (30 years in practice)
Group practice John K. Wildemore, Md, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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