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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1386506426
Internal Medicine - Hematology & Oncology in Berlin, MD

Active since November 26, 2025
9707 HEALTHWAY DR, BERLIN, MD 21811(410) 629-6888 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1386506426) is a healthcare organization registered as a hematology & oncology 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

NPI1386506426
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address9707 HEALTHWAY DRBerlin, MD 21811-3500
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 629-6888
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1386506426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
9707 HEALTHWAY DR, 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

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

ATLANTIC GENERAL HOSPITAL CORPORATION
Internal Medicine (Hematology & Oncology)
9707 HEALTHWAY DR
BERLIN, MD 21811
Worcester County (410) 629-6888

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 1386506426. 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 9707 Healthway Dr, Berlin, MD 21811. The listed phone number is (410) 629-6888.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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 with the weekly NPPES data releases published by CMS.