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TIDALHEALTH PHYSICIAN NETWORK, INC.
NPI 1811732514
Clinic/Center - Oncology in Berlin, MD

Active since June 26, 2024
11105 CATHAGE RD, BERLIN, MD 21811(410) 912-4934(410) 912-5934 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tidalhealth Physician Network, Inc. NPPES

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

TIDALHEALTH PHYSICIAN NETWORK, INC. (NPI 1811732514) is a healthcare organization registered as an oncology in Berlin, Maryland and active in the NPI registry since June 2024. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1811732514
Entity TypeOrganization
Primary Taxonomy261QX0200X
Legal Business NameTIDALHEALTH PHYSICIAN NETWORK, INC.
Location Address11105 CATHAGE RDBerlin, MD 21811-2131
Mailing AddressPo Box 824327Philadelphia, PA 19182-4327 · (410) 912-6989 · Fax (410) 912-4972
Phone(410) 912-4934
Fax(410) 912-5934
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateJune 26, 2024
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1811732514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · OncologyAmbulatory Health Care Facilities
Taxonomy Code261QX0200X
Definition
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.
11105 CATHAGE RD, Berlin, MD 21811
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Other Names 1

Other NameTidalhealth Medical Oncology And Hematology Ocean Pines

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.

TIDALHEALTH PENINSULA REGIONAL, INC.
Internal Medicine (Hematology & 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
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
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Medical Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934
DR. FLAVIO W KRUTER MD
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 Physician Network, Inc.'s NPI number?

The NPI number for Tidalhealth Physician Network, Inc. is 1811732514. It was assigned to this organization in the NPPES registry on June 26, 2024. The provider is also known as TidalHealth Medical Oncology and Hematology Ocean Pines.

Where is Tidalhealth Physician Network, Inc. located?

Tidalhealth Physician Network, Inc. is located at 11105 Cathage Rd, Berlin, MD 21811. The listed phone number is (410) 912-4934.

What is Tidalhealth Physician Network, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, with taxonomy code 261QX0200X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Physician Network, Inc. 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 13 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.