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This data was extracted on 9/30/2025.

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License NumberC0007242 Tyler Chase Goldberg
License TypePhysician Assistant
License StatusActive  
License Issued07/10/2019  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)

Umd Baltimore Washington 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.
 Physician Assistant Notification of Collaboration Agreements

Collaboration Agreements have not been reported for the profile site.
Active Supervisee - Delegation Agreement For Core Duties

D0029565  Philip Clay Buescher   Status: Approved  |  Approved Date:  10/14/2020  | Agreement No: 21083
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0051347  Cynthia Marie Soriano   Status: Approved  |  Approved Date:  10/21/2020  | Agreement No: 20979
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0085166  Jeffrey David Marshall   Status: Approved  |  Approved Date:  06/28/2022  | Agreement No: 30898
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0077165  Peter Phillip Olivieri III   Status: Approved  |  Approved Date:  09/14/2023  | Agreement No: 32821
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

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.
 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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