Maryland Board of Physicians

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License NumberD0052636 Dr. John Henry Wilckens
License TypePhysician-Medical Doctor
License StatusActive  
License Issued10/01/1997  License Expiration09/30/2025

Licensure Pathway:   Traditional
Special License Category:   N/A
Primary Practice Setting
Johns Hopkins at White Marsh
4924 Campbell Boulevard
Suite 130
Nottingham, MD 21236
Public Address
.
 Education

GEORGE WASHINGTON UNIV SCH OF MED & HLTH SCI
Graduated: 1980
 Medical Assistance and Malpractice Insurance

Accept Medicaid? Yes

Maintains Malpractice Insurance? Yes

 Postgraduate Training Program
School Concentration
Naval Medical Center (San Diego) Program Surgery
Naval Medical Center (San Diego) Program Orthopaedic Surgery
Methodist Hospital Orthopaedic Surgery, Orthopaedic Sports Medicine

Specialty Board Certification (as reported by licensee)

by American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA), Royal College of Physicians and Surgeons of Canada (RCPSC), or the College of Family Physicians of Canada (CFPOC).
Orthopaedic Surgery
 Self-Designated Practice Area (as reported by licensee)

Orthopaedic Surgery
 Maryland Hospital Privilege Information (as reported by licensee)

Johns Hopkins Hospital
Johns Hopkins Bayview Medical Center
 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.
 Collaboration and Consultation Agreements

Collaboration and Consultation Agreements have not been reported for the profile site.
 Supervised Genetic Counselor - Active Supervisor

Supervisor Agreements have not been reported for the profile site.
 Active Supervisee-Evaluation and Treatment Protocol

Protocol ID: 227  A0000010  Richard Louis Bancells   Status: Approved | Approved Date: 08/05/2011 | Agreement No: 227
Protocol ID: 228  A0000016  Brian Garth Ebel   Status: Approved | Approved Date: 08/15/2011 | Agreement No: 228
Protocol ID: 236  A0000227  Joshua Colby Lamont   Status: Approved | Approved Date: 09/22/2011 | Agreement No: 236
Protocol ID: 230  A0000150  Brian Simerville   Status: Approved | Approved Date: 09/26/2011 | Agreement No: 230
Protocol ID: 239  A0000233  James William Berry   Status: Approved | Approved Date: 09/28/2011 | Agreement No: 239
Protocol ID: 234  A0000220  Gregg Allen Calhoon   Status: Approved | Approved Date: 12/21/2011 | Agreement No: 234
Protocol ID: 501  A0000482  Mark Ehren Shires   Status: Approved | Approved Date: 10/05/2012 | Agreement No: 501
Protocol ID: 531  A0000447  William Christopher Poole   Status: Approved | Approved Date: 02/28/2013 | Agreement No: 531
Protocol ID: 993  A0000332  Gretchen Sullivan Benz   Status: Approved | Approved Date: 12/02/2015 | Agreement No: 993
Protocol ID: 1177  A0000929  Heather Christine Mohler   Status: Approved | Approved Date: 12/22/2016 | Agreement No: 1177
Protocol ID: 1523  A0000650  Rachel Ann Korczynski   Status: Approved | Approved Date: 09/07/2018 | Agreement No: 1523
Protocol ID: 1721  A0000032  Robert Bradley Mountcastle   Status: Approved | Approved Date: 09/13/2019 | Agreement No: 1721
Protocol ID: 3092  A0000754  Shawn Valentine Farmer   Status: Approved | Approved Date: 08/05/2022 | Agreement No: 3092
Protocol ID: 3187  A0000388  Jennifer Robyn Goolsby   Status: Approved | Approved Date: 04/03/2023 | Agreement No: 3187
 Active Supervisee - Delegation Agreement For Core Duties

C0002291  Carey Desjardins Roesler   Status: Approved | Approved Date: 04/26/2006 | Agreement No: 5199
C0003786  Kristian J Kunicky   Status: Approved | Approved Date: 07/30/2014 | Agreement No: 12508
C0004803  Dennis Wayne Rivenburgh   Status: Approved | Approved Date: 06/26/2019 | Agreement No: 18900
 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 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 for this licensee.
 MALPRACTICE (Information to be taken into consideration when reviewing a licensee's profile)


Malpractice Judgments and Arbitration Awards (within the past 10 years)
None Reported
Malpractice Settlements (If there are 3 or more settlements of $150,000 or greater within the past 5 years)
None Reported


Maryland Board of Physicians 4201 Patterson Avenue Baltimore, MD 21215
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