TIDALHEALTH SPECIALTY CARE, LLC
NPI 1124980271
Surgery in Berlin, MD

Active since November 26, 2025
10231 OLD OCEAN CITY BLVD STE 207, BERLIN, MD 21811(410) 641-9568 Get Directions Write a Review

NPPES record last updated: November 26, 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 1124980271) is a healthcare organization registered as a surgery 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

NPI1124980271
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address10231 OLD OCEAN CITY BLVD STE 207Berlin, MD 21811-3568
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
NPI 1124980271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10231 OLD OCEAN CITY BLVD STE 207, Berlin, MD 21811

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.

Surgery
10231 OLD OCEAN CITY BLVD STE 207
BERLIN, MD 21811
Internal Medicine (Obesity Medicine)
10231 OLD OCEAN CITY BLVD STE 207
BERLIN, MD 21811

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 1124980271. 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 207, Berlin, MD 21811. The listed phone number is (410) 641-9568.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.