License NumberC0003372 Wendy Jo Subasic
License TypePhysician Assistant
License StatusActive    
License Issued10/03/2006  License Expiration6/30/2025

Licensure Pathway:   Traditional
Special License Category:   N/A
Primary Practice Setting
N/A
Public Address
3407 Wilkens Avenue
Suite 210
Baltimore, MD 21229
US
 Medical Assistance

Accept Medicaid? No

 Maryland Hospital Privilege Information (as reported by licensee)

University of Maryland Baltimore Washington Medical Center
Carroll Hospital
Howard County General Hospital
MedStar Harbor Hospital
Northwest Hospital
Sinai Hospital of Baltimore
Saint Agnes 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

D0040081  Kenneth Frederick Langer   Status: Approved |  Approved Date: 06/26/2013 | Agreement No: 11414
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0054386  David Bryan Sigman   Status: Approved |  Approved Date: 04/20/2022 | Agreement No: 30635
Prescribe CDS: Yes | Non-CDS: No | Medical Devices: No
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
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