Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tidalhealth Specialty Care, LLC

Organization Pulmonary Disease Physician · NPI 1700699907

Tidalhealth Specialty Care, LLC provides Pulmonary Disease Physician services in Berlin, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11107 Cathage Rd Unit 201
Berlin, MD 21811-2156
Phone: (410) 912-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1700699907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrative Officer · (410) 543-7497
Other names Tidalhealth Pulmonary; Tidalhealth Pulmonary
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

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