TIDALHEALTH SPECIALTY CARE, LLC – NPI #1780534768
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

TIDALHEALTH SPECIALTY CARE, LLC is a radiologist located in BERLIN, MD. NPPES has assigned the NPI number 1780534768 to TIDALHEALTH SPECIALTY CARE, LLC on January 30, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

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
1780534768
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) 543-7356 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SLOAN TRAMMELL
MANAGER, INSURANCE CREDENTIALING
Phone: (410) 912-6989
Updated
Certification Date
Jan 30, 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
2085R0202X
- Radiology / Diagnostic Radiology (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.