Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0002589
Aaron Joseph Shakespeare
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
09/25/2002
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)
Northwest Hospital Center
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.
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 2242 | Submit Date: 11/18/2024
Practice Setting: Private Practice / Outpatient Clinic
Facility: The Centers for Advanced Orthopaedic
Address: 6707 Democracy Blvd
Bethesda, MD 20817
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Agreement ID: 2243 | Submit Date: 11/18/2024
Practice Setting: Private Practice / Outpatient Clinic
Facility: The Centers for Advanced Orthopaedic
Address: 6707 Democracy Blvd
Bethesda, MD 20817
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0030008
Sam V. Sydney Status: Approved |
Approved Date:
08/28/2002 | Agreement No: 2792
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0051302
Nicholas Patrick Grosso Status: Approved |
Approved Date:
07/23/2003 | Agreement No: 3387
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0048168
Richard Dennis Kinnard Status: Approved |
Approved Date:
07/23/2003 | Agreement No: 3386
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0058226
John Timothy Antoniades Status: Approved |
Approved Date:
06/26/2013 | Agreement No: 11416
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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