Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tigist Woldegebrial Haileselassie, PA

Individual provider Medical Physician Assistant · NPI 1336681105

Tigist Woldegebrial Haileselassie, PA is a Physician Assistant in Laurel, Maryland. Qualified in 2014, 12 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and works from 2 locations. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3357B Corridor Marketplace
Laurel, MD 20724-2381
Phone: (301) 497-1820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7225 Hanover Pkwy, Greenbelt, MD 20770-2024 — (301) 345-1400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0006033 (MD)

Record details

NPI number1336681105
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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