License NumberC0004803 Dennis Wayne Rivenburgh
License TypePhysician Assistant
License StatusActive    
License Issued07/10/2012  License Expiration6/30/2025

Licensure Pathway:   Traditional
Special License Category:   N/A
Primary Practice Setting
Johns Hopkins School of Medicine, Orthopaedic Surgery
601 N. Caroline Street
5150
Baltimore , MD 21287
Public Address
Johns Hopkins School of Medicine
Department Of Ortho Surgery
601 N. Caroline St.
Baltimore, MD 21287
US
 Medical Assistance

Accept Medicaid? No

 Maryland Hospital Privilege Information (as reported by licensee)

Johns Hopkins Hospital
 Medical Licenses Held in Other States (as reported by licensee)

Licensee has not reported Medical Licenses Held in Other States information for the profile site.


 Active Supervisee - Delegation Agreement For Core Duties

D0052636  John Henry Wilckens   Status: Approved |  Approved Date: 06/26/2019 | Agreement No: 18900
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
 Known Disciplinary Actions by any state medical board (within the past 10 years)

In Maryland:

No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.

Other States:

No Known Disciplinary Actions by any other state medical board have been reported.
 Download all Maryland Disciplinary Actions

All Orders are downloaded in .pdf format.
None.
 Pending Charges  Please Read Disclaimer

All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)  Please Read Description

No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.

Maryland Board of Physicians 4201 Patterson Avenue Baltimore, MD 21215
410.764.4777 | Toll Free 800.492.6836