Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0006971
Edom Zelelew Belete
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
09/24/2018
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
N/A
Maryland Hospital Privilege Information
(as reported by licensee)
Holy Cross Hospital
Holy Cross Germantown Hospital
Medical Licenses Held in Other States
(as reported by licensee)
District of Columbia
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 3843 | Submit Date: 03/04/2025
Practice Setting: Urgent Care
Facility: ExpressCare Urgent Care Center Forest Hill
Address: 2006 Rock Spring Road
Forest Hill, MD 21050
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: Yes
(Under Dr. Sitta Baby Gombeh-Alie)
View Collaboration Agreement
Agreement ID: 6254 | Submit Date: 08/26/2025
Practice Setting: Hospital
Facility: Holy Cross Germantown Hospital
Address: 19801 Observation Drive
Germantown, MD 20876
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Agreement ID: 6255 | Submit Date: 08/26/2025
Practice Setting: Hospital
Facility: Holy Cross Hospital
Address: 1500 Forest Glen Road
Silver Spring, MD 20910
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0062432
Holley Cousins Meers Status: Approved |
Approved Date:
03/16/2023 | Agreement No: 32139
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.
Convictions for any crime involving moral turpitude
None reported by the courts.
Appendix
General Disclaimer
Glossary of Terms
Notice to Credential Verification Professionals