Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIDALHEALTH SPECIALTY CARE, LLC
NPI 1144128059
Internal Medicine - Rheumatology in Berlin, MD

Active since October 29, 2026
11107 CATHAGE RD UNIT 104, BERLIN, MD 21811(410) 912-6933(410) 912-6934 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 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 1144128059) is a healthcare organization registered as a rheumatology in Berlin, Maryland and active in the NPI registry since October 2026. The organization lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1144128059
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address11107 CATHAGE RD UNIT 104Berlin, MD 21811-2155
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6053
Fax(410) 912-6934
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1144128059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
11107 CATHAGE RD UNIT 104, 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.

Internal Medicine (Hematology & Oncology)
11107 CATHAGE RD UNIT 104
BERLIN, MD 21811
Internal Medicine (Rheumatology)
11107 CATHAGE RD UNIT 104
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 1144128059. It was assigned to this organization in the NPPES registry on October 29, 2026.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 11107 Cathage Rd Unit 104, Berlin, MD 21811. The listed phone number is (410) 912-6933.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.