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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1588544134
Obstetrics & Gynecology in Berlin, MD

Active since September 04, 2025
11107 CATHAGE RD UNIT 103, BERLIN, MD 21811(410) 912-5674 Get Directions Write a Review

NPPES record last updated: September 4, 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 1588544134) is a healthcare organization registered as an obstetrics & gynecology in Berlin, Maryland and active in the NPI registry since September 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1588544134
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address11107 CATHAGE RD UNIT 103Berlin, MD 21811-2155
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 912-5674
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 546-7497
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1588544134 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.
11107 CATHAGE RD UNIT 103, 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 1588544134. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 11107 Cathage Rd Unit 103, Berlin, MD 21811. The listed phone number is (410) 912-5674.

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 September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.