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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1063225266
Internal Medicine - Gastroenterology in Berlin, MD

Active since January 30, 2025
11103 CATHAGE RD, BERLIN, MD 21811(410) 641-2938 Get Directions Write a Review

NPPES record last updated: July 22, 2025. 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 1063225266) is a healthcare organization registered as a gastroenterology in Berlin, Maryland and active in the NPI registry since January 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1063225266
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address11103 CATHAGE RDBerlin, MD 21811-2114
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6053
Phone(410) 641-2938
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJanuary 30, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1063225266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11103 CATHAGE RD, Berlin, MD 21811
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Other Names 1

Other NameTidalhealth Gastroenterology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ERIKA PINTO PA-C
Physician Assistant
11103 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-6021
ANESTHESIA COMPANY, LLC
Anesthesiology
11103 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 677-6654
DELMARVA ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
11103 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 847-7900
MID ATLANTIC SURGICAL GROUP
Surgery
11103 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 543-9332

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 1063225266. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is also known as TidalHealth Gastroenterology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 11103 Cathage Rd, Berlin, MD 21811. The listed phone number is (410) 641-2938.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.