Individual provider · Type 1 NPI

Madison Wylie Hawkes Gagern

Physician Assistant · Elkridge, MD

NPI number 1043852411 Active

Practice location

8178 Lark Brown Rd Ste 101
Elkridge, MD 21075-6438

Call (410) 646-4800 Map

Mailing address

253 Poe Ct
Severna Park, MD 21146-2136

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043852411

Madison Wylie Hawkes Gagern's National Provider Identifier is 1043852411, issued on Oct 17, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elkridge, MD. The record was last updated on May 21, 2026.