TIDALHEALTH PRIMARY CARE, LLC
NPI 1952263014
Pediatrics in Berlin, MD

Active since November 26, 2025
10614 RACETRACK RD UNIT 1, BERLIN, MD 21811(443) 728-1004 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics

About TIDALHEALTH PRIMARY CARE, LLC

This page provides the complete NPI Profile along with additional information for Tidalhealth Primary Care, Llc, a pediatrician established in Berlin, Maryland operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1952263014 assigned on November 2025. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Tidalhealth Primary Care, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sloan Trammell (Credentialing Manager)

NPI
1952263014 Verify this NPI
Provider Name
TIDALHEALTH PRIMARY CARE, LLC
Entity Type
Organization
Location Address
10614 RACETRACK RD UNIT 1 BERLIN, MD 21811
Location Phone
(443) 728-1004
Mailing Address
PO BOX 825474 PHILADELPHIA, PA 19182
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2025
Last Update Date
11-26-2025
Code Navigator

A pediatrician like Tidalhealth Primary Care, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SLOAN TRAMMELL

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(410) 912-6989

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
10614 RACETRACK RD UNIT 1
BERLIN, MD 21811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952263014, enumerated as an "organization" on November 26, 2025.

The provider is located at 10614 RACETRACK RD UNIT 1 BERLIN, MD 21811 and the phone number is (443) 728-1004.

Pediatrics with taxonomy code 208000000X.