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Practitioner Profile Portal

This data was extracted on 10/8/2026.

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License Number: C0004500 Richard Agyekum Sampong
License Type: Physician Assistant
License Status: Active  
License Issued: 07/01/2011  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: 9636 |  Submit Date: 08/10/2026
Practice Setting: Private Practice / Outpatient Clinic
Facility: Lumina Care
Address: 9200 Franklin Square Dr
           baltimore, MD 21237
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Agreement ID: 9637 |  Submit Date: 08/10/2026
Practice Setting: Private Practice / Outpatient Clinic
Facility: Daniel Funsch Jr, M.D., P.C.
Address: 9200 Franklin Square Dr
           baltimore, MD 21237
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement

Active Supervisee - Delegation Agreement For Core Duties

D0089063  James Dotse Yaw Wornyo   Status: Approved  |  Approved Date:  06/23/2023  | Agreement No: 32508
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0038296  Joseph Francis Gibbons   Status: Approved  |  Approved Date:  08/14/2024  | Agreement No: 34790
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: No
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

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

All Charges are downloaded in .pdf format.
None.

 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)

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.