John K. Wildemore, MD, LLC
NPI 1376632257 · Dermatology Physician · Wayne, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John K. Wildemore, MD, LLC is a Dermatology Physician organization in Wayne, PA (NPI 1376632257).
Provider details
- NPI number
- 1376632257
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Wildemore, Owner(610) 688-8750
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2011-02-03
Frequently asked questions
- What is John K. Wildemore, MD, LLC's NPI number?
- John K. Wildemore, MD, LLC's National Provider Identifier (NPI) is 1376632257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John K. Wildemore, MD, LLC?
- John K. Wildemore, MD, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is John K. Wildemore, MD, LLC located?
- John K. Wildemore, MD, LLC's practice location on file with NPPES is 744 W Lancaster Ave, Wayne, PA 19087-2523.
- What is John K. Wildemore, MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for John K. Wildemore, MD, LLC is (610) 688-8750.
- Does John K. Wildemore, MD, LLC accept Medicare?
- John K. Wildemore, MD, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for John K. Wildemore, MD, LLC?
- The authorized official listed on John K. Wildemore, MD, LLC's NPPES record is John Wildemore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John K. Wildemore, MD, LLC's NPI active?
- Yes — John K. Wildemore, MD, LLC's NPI (1376632257) is active in the NPPES registry as of the last update on 2011-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.