TIDALHEALTH SPECIALTY CARE, LLC – NPI #1942152889
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

TIDALHEALTH SPECIALTY CARE, LLC is a provider located in BERLIN, MD. NPPES has assigned the NPI number 1942152889 to TIDALHEALTH SPECIALTY CARE, LLC on February 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIDALHEALTH SPECIALTY CARE, LLC below.

NPI Profile for
TIDALHEALTH SPECIALTY CARE, LLC

NPI Number
1942152889
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIDALHEALTH SPECIALTY CARE, LLC
Primary location
9733 HEALTHWAY DR
BERLIN, MD 21811-1155
Phone: (410) 629-1500 Fax:
Mailing address
PO BOX 825461
PHILADELPHIA, PA 19182-5461
Phone: Fax:
Organization Subpart
No
Authorized Official
SLOAN TRAMMELL
CREDENTIALING MANAGER
Phone: (410) 912-6989
Updated
Certification Date
Feb 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.