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

Tidalhealth Specialty Care, LLC

Organization Medical Oncology Physician · NPI 1740176098

Tidalhealth Specialty Care, LLC is a Medical Oncology 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

11105 Cathage Rd
Berlin, MD 21811-2131
Phone: (410) 912-4934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X

Record details

NPI number1740176098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrative Officer · (410) 543-7497
Other names Tidalhealth Oncology; Tidalhealth Oncology
NPI enumeratedJune 14, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461