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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1740176098
Internal Medicine - Medical Oncology in Berlin, MD

Active since June 14, 2025
11105 CATHAGE RD, BERLIN, MD 21811(410) 912-4934 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1740176098) is a healthcare organization registered as a medical oncology in Berlin, Maryland and active in the NPI registry since June 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1740176098
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address11105 CATHAGE RDBerlin, MD 21811-2131
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6053
Phone(410) 912-4934
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJune 14, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1740176098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

11105 CATHAGE RD, Berlin, MD 21811
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Other Names 1

Other NameTidalhealth Oncology

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 6

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

DR. JOHN ROMEO MANSUETI M.D.
Radiology (Radiation Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4966
ASSOCIATES IN RADIATION MEDICINE, PC
Radiology (Radiation Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4966
DR. FLAVIO W KRUTER MD
Internal Medicine (Hematology & Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934
TIDALHEALTH PHYSICIAN NETWORK, INC.
Clinic/Center (Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934
PENINSULA REGIONAL MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 543-4788
TIDALHEALTH PENINSULA REGIONAL, INC.
Internal Medicine (Hematology & Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934

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 1740176098. It was assigned to this organization in the NPPES registry on June 14, 2025.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 11105 Cathage Rd, Berlin, MD 21811. The listed phone number is (410) 912-4934.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

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 with the weekly NPPES data releases published by CMS.