Tidalhealth Specialty Care, LLC is a Hematology & Oncology Physician (organization) practicing in Berlin, Maryland. The National Provider Identifier (NPI) is #1386506426, which was assigned on November 26, 2025, and the registration record was last updated on November 26, 2025. The practitioner's main practice location is at 9707 Healthway Dr, Berlin, MD 21811-3500; the contact telephone number is 4106296888. The primary taxonomy of Tidalhealth Specialty Care, LLC is Hematology & Oncology Physician (207RH0003X), with specialization in Hematology & Oncology. The authorized official for Tidalhealth Specialty Care, LLC is Sloan Trammell (Credentialing Manager).
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
| NPI | 1386506426 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH SPECIALTY CARE, LLC |
| Provider Name | TIDALHEALTH SPECIALTY CARE, LLC |
| Practice Address |
9707 Healthway Dr Berlin MD 21811-3500 |
| Practice Telephone | 4106296888 |
| Mailing Address |
Po Box 825461 Philadelphia PA 19182-5461 |
| Certification Date | 2025-11-26 |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |
| Is Organization Subpart | N |
| Official Name | SLOAN TRAMMELL |
| Official Title | CREDENTIALING MANAGER |
| Telephone | 4109126989 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207RH0003X | Internal Medicine | Hematology & Oncology | 193200000X MULTI-SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 327 Tilghman Rd Ste 200, Salisbury, MD 21804-2015 | Diagnostic Radiology Physician | 2026-01-30 |
| Tidalhealth Specialty Care, LLC | 9733 Healthway Dr, Berlin, MD 21811-1155 | Diagnostic Radiology Physician | 2026-01-30 |
| Tidalhealth Specialty Care, LLC | 96 Atlantic Ave Ste 101, Ocean View, DE 19970-9103 | Rheumatology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 10231 Old Ocean City Blvd Ste 207, Berlin, MD 21811-3568 | Obesity Medicine (Internal Medicine) Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 103, Millsboro, DE 19966-3594 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2025-08-27 |
| Tidalhealth Specialty Care, LLC | 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703 | Geriatric Medicine (Internal Medicine) Physician | 2025-07-16 |
| Tidalhealth Specialty Care, LLC | 10614 Racetrack Rd Unit 5, Berlin, MD 21811-3383 | Gastroenterology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 10614 Racetrack Rd Unit 2, Berlin, MD 21811-3383 | Diagnostic Radiology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 9714 Healthway Dr, Berlin, MD 21811-1154 | Neurology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 105, Millsboro, DE 19966-3594 | Cardiovascular Disease Physician | 2025-11-18 |
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| Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definition added, source added; 7/1/2011: modified source] Additional Resources: http://www.osteopathic.org/certification |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hematologynowmd PLLC | 4810 Spicewood Springs Rd, Austin, TX 78759-7838 | Hematology & Oncology Physician | 2025-10-09 |
| Jackson Oncology Associates, PLLC | 1014 Big Lane Dr, Brookhaven, MS 39601-2331 | Hematology & Oncology Physician | 2025-11-17 |
| Kirsten Marie Powell | 3838 Cascades Blvd, Kent, OH 44240 | Hematology & Oncology Physician | 2025-12-01 |
| Haley Beale | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | Hematology & Oncology Physician | 2025-12-19 |
| Heme Onc Call | 9850 Stirling Rd Ste 100, Hollywood, FL 33024-8068 | Hematology & Oncology Physician | 2025-11-25 |
| North Shore Hematology Oncology Associates PC | 1200 Stony Brook Ct, Newburgh, NY 12550-6543 | Hematology & Oncology Physician | 2025-11-25 |
| Tidalhealth Peninsula Regional, Inc. | 11105 Cathage Rd, Berlin, MD 21811-2131 | Hematology & Oncology Physician | 2026-01-09 |
| Kelly Nicole Kacinski | 1751 York Ave, New York, NY 10128-6828 | Hematology & Oncology Physician | 2026-01-26 |
| Jackson Oncology Associates, PLLC | 330 N Broad St, Forest, MS 39074-3508 | Hematology & Oncology Physician | 2025-11-17 |
| Titan Health Partners LLC | 300 Littleton Rd Ste 301, Parsippany, NJ 07054-4841 | Hematology & Oncology Physician | 2026-02-05 |
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| Street Address |
9707 HEALTHWAY DR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3500 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Atlantic General Hospital Corporation | 9707 Healthway Dr, Berlin, MD 21811-3500 | Medical Oncology Physician | 2024-10-01 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Berlin Health Care LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 | Skilled Nursing Facility | 2016-08-18 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Susan E Vickers Dmd Pa | 11029 Racetrack Rd, Berlin, MD 21811 | Pediatric Dentist | 2007-03-13 |
| Jessica Litten Howard | 29 Broad St, Berlin, MD 21811-1052 | Occupational Therapist | 2007-03-21 |
| Raymond Clifford | 9956 N Main St Unit 4, Berlin, MD 21811-1077 | Ophthalmology Physician | 2014-08-29 |
| Tidalhealth Primary Care, LLC | 9950 N Main St, Berlin, MD 21811-1076 | Family Medicine Physician | 2024-10-04 |
| Deborah Susan Parker · Deborah Susan James | 9958 N Main St, Berlin, MD 21811-1076 | Professional Counselor | 2010-12-28 |
| Med.One Pharmacy, Inc. | 10119 Old Ocean City Blvd, Berlin, MD 21811-1143 | Pharmacy | 2011-07-27 |
| Benjamin Monti | 9956 N Main St Unit 2, Berlin, MD 21811-1077 | Acupuncturist | 2026-01-10 |
| Salem Gunn Enterprises | 514 Franklin Ave, Unit 108, Berlin, MD 21811 | Family Medicine Physician | 2025-09-25 |
| Chesapeake Pediatric & Adolescent Associates, Pa | 29 Broad St Ste 201, Berlin, MD 21811-1054 | Pediatrics Physician | 2024-09-16 |
| Stacey Nicole Ogburn · Stacey Ogburn Shelton | 9958 N Main St, Berlin, MD 21811-1076 | Psychiatric/Mental Health Nurse Practitioner | 2025-10-27 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care | 100 E Carroll St, Salisbury, MD 21801-5422 | Pediatrics Physician | 2024-06-26 |
| Tidalhealth Primary Care, LLC | 12308 Ocean Gtwy Ste 1, Ocean City, MD 21842-9341 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Primary Care, LLC | 1639 Woodbrooke Dr, Salisbury, MD 21804-8502 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Specialty Care | 100 E Carroll St, Salisbury, MD 21801-5422 | Neonatal-Perinatal Medicine Physician | 2024-06-26 |
| Tidalhealth Specialty Care | 30265 Commerce Dr Unit 102, Millsboro, DE 19966-3594 | Otolaryngology Physician | 2024-06-26 |
| Tidalhealth Primary Care, LLC | 96 Atlantic Ave Ste 101, Ocean View, DE 19970-9103 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Primary Care, LLC | 30265 Commerce Dr Unit 206, Millsboro, DE 19966-3595 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Primary Care, LLC | 9950 N Main St, Berlin, MD 21811-1076 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Primary Care, LLC | 305 10th St Ste 101, Pocomoke City, MD 21851-1607 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Primary Care, LLC | 10614 Racetrack Rd Unit 1, Berlin, MD 21811-3383 | Pediatrics Physician | 2025-11-26 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |