Mikias Wolde, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0007338 Issued in MD

Practice address

7671 Quarterfield Rd Ste 200 a and B
Glen Burnie, MD 21061-4998

Phone

(443) 351-3376

Fax

(410) 582-9155

NPI assigned

Aug 24, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Duke University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mwolde@aadermaffiliates.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anne Arundel Dermatology LLC

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1063481703

  DC

  Medicare reassignment Care Compare group
• University of Maryland St. Joseph Medical Group, LLC

  dba University of Maryland St. Joseph Medical Group

  • General Practice Physician
  • Towson, MD
  • NPI 1770836785
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1215418413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD STE 200 A AND B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614998",
            "telephone_number": "443-351-3376",
            "fax_number": "410-582-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501Greenway Center Dr 10th floor Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "20770",
            "country_code": "US",
            "telephone_number": "304-345-7375",
            "fax_number": "301-345-7269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Admiral Cochrane Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018405",
            "country_code": "US",
            "telephone_number": "410-263-5439",
            "fax_number": "410-263-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 Medical Pkwy Ste 630",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013059",
            "country_code": "US",
            "telephone_number": "410-224-2260",
            "fax_number": "410-224-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLDE",
        "first_name": "MIKIAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007338",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0007338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Bruce Woehlke, OD
• Nicholas Adam Wolf, NP-C
• Stacey Nicole Wolf, CRNA
• Korlu Wolobah-Kuyon
• Women's Health Services of Maryland, LLC
• Mary Louise Wong

• Physician Assistant in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.