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

Tidalhealth Specialty Care, LLC

Organization Obstetrics & Gynecology Physician · NPI 1588544134

Tidalhealth Specialty Care, LLC is an Obstetrics & Gynecology 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.

See every abbreviation used in this directory →

Practice location Address checks out

11107 Cathage Rd Unit 103
Berlin, MD 21811-2155
Phone: (410) 912-5674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1588544134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrative Officer · (410) 546-7497
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

Other providers in Berlin