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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TIDALHEALTH SPECIALTY CARE, LLC
NPI 1063374114
Podiatrist in Berlin, MD

Active since November 26, 2025
10231 OLD OCEAN CITY BLVD STE 104, BERLIN, MD 21811(410) 629-6863 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Nov 26, 2025 (2 updates tracked since 2025).

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1063374114) is a healthcare organization registered as a podiatrist in Berlin, Maryland and active in the NPI registry since November 2025. The organization lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1063374114
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 DateNovember 26, 2025
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1063374114 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.

TIDALHEALTH SPECIALTY CARE, LLC
Podiatrist
10231 OLD OCEAN CITY BLVD STE 104
BERLIN, MD 21811
Worcester County (410) 629-6863
ATLANTIC GENERAL HOSPITAL CORPORATION
Nurse Practitioner
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 1063374114. It was assigned to this organization in the NPPES registry on November 26, 2025.

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 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.