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This data was extracted on 9/30/2025.

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License Number: C0003723 Mark Edwin Williams
License Type: Physician Assistant
License Status: Active  
License Issued: 02/05/2008  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? Yes

Maryland Hospital Privilege Information (as reported by licensee)
Adventist Healthcare White Oak Medical Center
University Of Md Charles Regional Medical Center
Adventist Healthcare Fort Washington Medical Ctr
Adventist Healthcare Shady Grove Medical Center
Medical Licenses Held in Other States (as reported by licensee)
Delaware
Pennsylvania
Virginia
 Physician Assistant Notification of Collaboration Agreements
Agreement ID: 3423 |  Submit Date: 01/07/2025
Practice Setting: Hospital
Facility: Luminis Health Doctors Community Medical Ctr, Inc
Address: 8118 Good Luck Road
           Lanham, MD 20706
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 3425 |  Submit Date: 01/07/2025
Practice Setting: Hospital
Facility: University Of Md Capital Region Medical Center
Address: 901 North Harry S Truman Drive
           Upper Marlboro, MD 20774
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 6335 |  Submit Date: 09/05/2025
Practice Setting: Urgent Care
Facility: UPMC Urgent Care at Cumberland
Address: 1050 Industrial Blvd, Ste 17
           Cumberland, MD 21502
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
H0080330  Rameen Jonathan Shafiei   Status: Approved  |  Approved Date:  12/15/2021  | Agreement No: 30002
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0083094  Trecia Henriques   Status: Approved  |  Approved Date:  05/06/2022  | Agreement No: 30713
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0058025  Jonathan Matthew Wenk   Status: Approved  |  Approved Date:  06/13/2022  | Agreement No: 30828
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0073701  Neil Roy   Status: Approved  |  Approved Date:  07/22/2022  | Agreement No: 30993
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0073512  Mark Adam Goldstein   Status: Approved  |  Approved Date:  12/14/2022  | Agreement No: 31686
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0079271  Andrew Eric Baum   Status: Approved  |  Approved Date:  10/25/2023  | Agreement No: 33047
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0074931  Maxwell Irving Ginsburg   Status: Approved  |  Approved Date:  11/21/2023  | Agreement No: 33158
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0047699  Ronald Clifford Kinsey   Status: Approved  |  Approved Date:  04/19/2024  | Agreement No: 34035
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0075486  Monique Lavell McCray   Status: Approved  |  Approved Date:  04/19/2024  | Agreement No: 34019
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.
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