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

Tidalhealth Specialty Care, LLC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1942152889

Tidalhealth Specialty Care, LLC provides Critical Care Medicine (Internal Medicine) Physician services in Berlin, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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

9733 Healthway Dr
Berlin, MD 21811-1155
Phone: (410) 629-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X

Record details

NPI number1942152889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sloan Trammell — Credentialing Manager · (410) 912-6989
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

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