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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1710849872
Radiology - Diagnostic Radiology in Berlin, MD

Active since November 26, 2025
10614 RACETRACK RD UNIT 4, BERLIN, MD 21811(443) 728-1090 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2025, Nov 26, 2025 (2 updates tracked since 2025).

About Tidalhealth Specialty Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1710849872) is a healthcare organization registered as a diagnostic radiology 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

NPI1710849872
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address10614 RACETRACK RD UNIT 4Berlin, MD 21811-3383
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(443) 728-1090
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateNovember 26, 2025
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1710849872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10614 RACETRACK RD UNIT 4, 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 1710849872. 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 10614 Racetrack Rd Unit 4, Berlin, MD 21811. The listed phone number is (443) 728-1090.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.