Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Specialty Care, LLC

Organization Gastroenterology Physician · NPI 1063225266

Tidalhealth Specialty Care, LLC is a Gastroenterology Physician in Berlin, Maryland. Registered with an NPI since 2025.

In the registry since
2025
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

11103 Cathage Rd
Berlin, MD 21811-2114
Phone: (410) 641-2938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1063225266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrative Officer · (410) 543-7497
Other names Tidalhealth Gastroenterology; Tidalhealth Gastroenterology
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

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