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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1659184919
Internal Medicine - Cardiovascular Disease in Berlin, MD

Active since January 30, 2025
11107 CATHAGE RD UNIT 201, BERLIN, MD 21811(410) 912-6726 Get Directions Write a Review

NPPES record last updated: July 22, 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 1659184919) is a healthcare organization registered as a cardiovascular disease in Berlin, Maryland and active in the NPI registry since January 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1659184919
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address11107 CATHAGE RD UNIT 201Berlin, MD 21811-2156
Mailing AddressPo Box 824327Philadelphia, PA 19182-4327 · (410) 912-6989
Phone(410) 912-6726
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJanuary 30, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1659184919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
11107 CATHAGE RD UNIT 201, Berlin, MD 21811
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Other Names 1

Other NameTidalhealth Cardiology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JACQUES R CONAWAY M.D.
Internal Medicine (Pulmonary Disease)
11107 CATHAGE RD UNIT 201
BERLIN, MD 21811
Worcester County (410) 912-6825
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11107 CATHAGE RD UNIT 201
BERLIN, MD 21811
Worcester County (410) 912-6023
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Pulmonary Disease)
11107 CATHAGE RD UNIT 201
BERLIN, MD 21811
Worcester County (410) 912-6825

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 1659184919. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is also known as TidalHealth Cardiology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 11107 Cathage Rd Unit 201, Berlin, MD 21811. The listed phone number is (410) 912-6726.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.