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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1174485239
Internal Medicine - Rheumatology in Ocean View, DE

Active since November 26, 2025CLIA 08D1054469 · Waiver
96 ATLANTIC AVE STE 101, OCEAN VIEW, DE 19970(302) 541-4460 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1174485239) is a healthcare organization registered as a rheumatology in Ocean View, Delaware and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1174485239
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address96 ATLANTIC AVE STE 101Ocean View, DE 19970-9103
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(302) 541-4460
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1174485239 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.
96 ATLANTIC AVE STE 101, Ocean View, DE 19970
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D1054469

Tidalhealth Primary Care · Ocean View, DE
Active · expires May 21, 2028
CLIA Number08D1054469
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. Ellen J. Rowe Rhodes
Laboratory Phone(410) 641-9362
Laboratory LocationTidalhealth Primary Care96 Atlantic Avenue, Suite 101, Ocean View, DE 19970
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MICHAEL VINCENT HEILMAN PA-C
Physician Assistant
96 ATLANTIC AVE STE 101
OCEAN VIEW, DE 19970
Sussex County (302) 541-4460
HEYUE DU M.D.
Internal Medicine
96 ATLANTIC AVE STE 101
OCEAN VIEW, DE 19970
Sussex County (410) 546-6400
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
96 ATLANTIC AVE STE 101
OCEAN VIEW, DE 19970
Sussex County (302) 541-4460
MR. MICHAEL PAUL BOYLE CRNP
Nurse Practitioner (Family)
96 ATLANTIC AVE STE 101
OCEAN VIEW, DE 19970
Sussex County (302) 541-4460
ATLANTIC GENERAL HOSPITAL CORPORATION
Family Medicine
96 ATLANTIC AVE STE 101
OCEAN VIEW, DE 19970
Sussex County (302) 541-4460

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 1174485239. 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 96 Atlantic Ave Ste 101, Ocean View, DE 19970. The listed phone number is (302) 541-4460.

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.

Does Tidalhealth Specialty Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D1054469) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.