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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TIDALHEALTH SPECIALTY CARE, LLC
NPI 1033031133
Podiatrist in Berlin, MD

Active since July 29, 2026
10231 OLD OCEAN CITY BLVD STE 104, BERLIN, MD 21811(410) 629-6863 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidalhealth Specialty Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1033031133) is a healthcare organization registered as a podiatrist in Berlin, Maryland and active in the NPI registry since July 2026. The organization lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1033031133
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address10231 OLD OCEAN CITY BLVD STE 104Berlin, MD 21811-3567
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 629-6863
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1033031133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
10231 OLD OCEAN CITY BLVD STE 104, Berlin, MD 21811
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTIC GENERAL HOSPITAL CORPORATION
Nurse Practitioner
10231 OLD OCEAN CITY BLVD STE 104
BERLIN, MD 21811
Worcester County (410) 629-6863
TIDALHEALTH SPECIALTY CARE, LLC
Podiatrist
10231 OLD OCEAN CITY BLVD STE 104
BERLIN, MD 21811
Worcester County (410) 629-6863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidalhealth Specialty Care, LLC's NPI number?

The NPI number for Tidalhealth Specialty Care, LLC is 1033031133. It was assigned to this organization in the NPPES registry on July 29, 2026.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 10231 Old Ocean City Blvd Ste 104, Berlin, MD 21811. The listed phone number is (410) 629-6863.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.