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This data was extracted on 9/30/2025.

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License NumberC0006399 Atemkeng Curtis Fomengia
License TypePhysician Assistant
License StatusActive  
License Issued02/23/2017  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? N/A

Maryland Hospital Privilege Information (as reported by licensee)

Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States (as reported by licensee)

District of Columbia
Virginia
 Physician Assistant Notification of Collaboration Agreements

Agreement ID: 3723 |  Submit Date: 02/19/2025
Practice Setting: Home Office - Telemedicine
Facility: One Medical
Address: 9300 Colesville Rd
           Silver Spring, MD 20901-4818
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 5495 |  Submit Date: 06/05/2025
Practice Setting: Private Practice / Outpatient Clinic
Facility: One Medical with Medstar Health
Address: 8401 CONNECTICUT AVE
           CHEVY CHASE, MD 20815
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 6235 |  Submit Date: 08/23/2025
Practice Setting: Private Practice / Outpatient Clinic
Facility: JAD Wound Care LLC
Address: 10463 Owen Brown Road
           Columbia , MD 21044
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties

D0075893  Armel Simo   Status: Approved  |  Approved Date:  08/07/2019  | Agreement No: 19303
Prescribe CDS: No  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0084495  William Bradford Lawson   Status: Approved  |  Approved Date:  06/22/2020  | Agreement No: 20630
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0075330  Grace Enanga Mbonde   Status: Approved  |  Approved Date:  02/08/2021  | Agreement No: 21574
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0059377  Kristi Alethea Lee   Status: Approved  |  Approved Date:  07/02/2024  | Agreement No: 34439
Prescribe CDS: No  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.
 Order#: 06212019  dated 06/21/2019
 Order#: 10102018  dated 10/10/2018
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

In Maryland:
Date of Action: 06/21/2019State: MD
Summary:
Fine of $1000.00 Satisfied. The practitioner has paid the fine imposed under the Consent Order, dated October 10, 2018. The reprimand remains in effect.
Date of Action: 10/10/2018State: MD
Summary:
Reprimand. Civil Fine of $1,000.00, payable within one year. The practitioner is guilty of unprofessional conduct and performing delegated medical acts without the supervision of a physician.
Other States:
Date of Action: 12/11/2019State: DC
Summary:
Reprimanded due to action taken by another Board/Agency
 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.
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