OrganizationActive
Tidalhealth Specialty Care, LLC
NPI 1629930763 · Specialist · Berlin, MD
Tidalhealth Specialty Care, LLC is a Specialist organization in Berlin, MD (NPI 1629930763).
Provider details
- NPI number
- 1629930763
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sloan Trammell, Credentialing Manager(410) 912-6989
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9714 Healthway Dr
Berlin, MD 21811-1154
Phone: (410) 641-4765
Street-level locationGet directions
Mailing address
Po Box 825461
Philadelphia, PA 19182-5461
Registry dates
- Enumerated
- 2025-11-26
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Tidalhealth Specialty Care, LLC's NPI number?
- Tidalhealth Specialty Care, LLC's National Provider Identifier (NPI) is 1629930763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidalhealth Specialty Care, LLC?
- Tidalhealth Specialty Care, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tidalhealth Specialty Care, LLC located?
- Tidalhealth Specialty Care, LLC's practice location on file with NPPES is 9714 Healthway Dr, Berlin, MD 21811-1154.
- What is Tidalhealth Specialty Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidalhealth Specialty Care, LLC is (410) 641-4765.
- Who is the authorized official for Tidalhealth Specialty Care, LLC?
- The authorized official listed on Tidalhealth Specialty Care, LLC's NPPES record is Sloan Trammell, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidalhealth Specialty Care, LLC's NPI active?
- Yes — Tidalhealth Specialty Care, LLC's NPI (1629930763) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.