Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIDALHEALTH SPECIALTY CARE, LLC
NPI 1093677148
Obstetrics & Gynecology in Berlin, MD

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

The NPI number for Tidalhealth Specialty Care, LLC is 1093677148. It was assigned to this organization in the NPPES registry on November 26, 2025.

Q: What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since November 26, 2025

10614 RACETRACK RD UNIT 3, BERLIN, MD 21811(410) 629-1450 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Dec 29, 2025, Nov 26, 2025 (3 updates tracked since 2025).

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About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1093677148) is a healthcare organization registered as an obstetrics & gynecology 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

NPI1093677148

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC

Location Address10614 RACETRACK RD UNIT 3Berlin, MD 21811-3383

Mailing AddressPo Box 825461Philadelphia, PA 19182-5461

Phone(410) 629-1450

Organization SubpartNo

Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989

Enumeration DateNovember 26, 2025

Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1093677148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10614 RACETRACK RD UNIT 3, 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

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 1093677148. 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 10614 Racetrack Rd Unit 3, Berlin, MD 21811. The listed phone number is (410) 629-1450.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.