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

Dr. Tatyana Humphreys, MD

Individual provider Dermatology Physician · NPI 1184645731

Dr. Tatyana Humphreys, MD is a Micrographic Dermatologic Surgery (Mds) in Wynnewood, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 1990, 36 years ago. Practices with John K. Wildemore, MD, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
36
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2006
Specialties on file
2
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

306 Gypsy Ln
Wynnewood, PA 19096-1103
Phone: (484) 343-8751
Fax: (610) 572-7262
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD047761L (PA)
Dermatology Physician Taxonomy 207N00000X · Licence MD047761L (PA)

Record details

NPI number1184645731
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1990 (36 years in practice)
Group practice John K. Wildemore, Md, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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