TIDALHEALTH SPECIALTY CARE, LLC – NPI #1740176098
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

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 1740176098 to TIDALHEALTH SPECIALTY CARE, LLC on June 14, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was last updated on Jul 22, 2025. 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
1740176098
Enumeration Date

(about a year 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
11105 CATHAGE RD
BERLIN, MD 21811-2131
Phone: (410) 912-4934 Fax:
Mailing address
PO BOX 825461
PHILADELPHIA, PA 19182-5461
Phone: (410) 912-6053 Fax:
Organization Subpart
No
Authorized Official
WILLIAM PELOT
CHIEF ADMINISTRATIVE OFFICER
Phone: (410) 543-7497
Updated
Certification Date
Jul 22, 2025

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
207RX0202X
- Internal Medicine / Medical Oncology (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.