TIDALHEALTH PHYSICIAN NETWORK, INC.
NPI 1811732514
Clinic/Center - Oncology in Berlin, MD
NPI Status: Active since June 26, 2024
Contact Information
11105 CATHAGE RD
BERLIN, MD
ZIP 21811
Phone: (410) 912-4934
Fax: (410) 912-5934
- Organization
- Clinic/Center
- Oncology
- CLIA Number: 21D2289995
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-18-2027
About TIDALHEALTH PHYSICIAN NETWORK, INC.
This page provides the complete NPI Profile along with additional information for Tidalhealth Physician Network, Inc., a provider established in Berlin, Maryland operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1811732514 assigned on June 2024. The practitioner's primary taxonomy code is 261QX0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1811732514
- Provider Legal Name
- TIDALHEALTH PHYSICIAN NETWORK, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 11105 CATHAGE RD BERLIN, MD 21811
- Location Phone
- (410) 912-4934
- Location Fax
- (410) 912-5934
- Mailing Address
- PO BOX 824327 PHILADELPHIA, PA 19182
- Mailing Phone
- (410) 912-6989
- Mailing Fax
- (410) 912-5934
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2024
- Last Update Date
- 07-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Oncology
- Taxonomy Code
- 261QX0200X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2289995
- Facility Type
- Physician Office
- Certificate Effective Date
- September 19, 2025
- Certificate Expiration Date
- September 18, 2027
- Laboratory Director
- DR. ANITA K. PASCUCCI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tidalhealth Physician Network, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811732514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
BERLIN, MD 21811
BERLIN, MD 21811
BERLIN, MD 21811
BERLIN, MD 21811
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811732514, enumerated as an "organization" on June 26, 2024.
The provider is located at 11105 CATHAGE RD BERLIN, MD 21811 and the phone number is (410) 912-4934.
Clinic/Center with taxonomy code 261QX0200X and a focus in Oncology.
