Tidalhealth Peninsula Regional, Inc. is a Hematology & Oncology Physician (organization) practicing in Berlin, Maryland. The National Provider Identifier (NPI) is #1538026505, which was assigned on January 9, 2026, and the registration record was last updated on January 9, 2026. The practitioner's main practice location is at 11105 Cathage Rd, Berlin, MD 21811-2131; the contact telephone number is 4109124934. The primary taxonomy of Tidalhealth Peninsula Regional, Inc. is Hematology & Oncology Physician (207RH0003X), with specialization in Hematology & Oncology. The authorized official for Tidalhealth Peninsula Regional, Inc. 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 | 1538026505 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH PENINSULA REGIONAL, INC. |
| Provider Name | TIDALHEALTH PENINSULA REGIONAL, INC. |
| Practice Address |
11105 Cathage Rd Berlin MD 21811-2131 |
| Practice Telephone | 4109124934 |
| Mailing Address |
11105 Cathage Rd Berlin MD 21811-2131 |
| Mailing Telephone | 4109124934 |
| Certification Date | 2026-01-09 |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |
| 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 Peninsula Regional, Inc. | 100 E Carroll St, Salisbury, MD 21801-5422 | Community/Retail Pharmacy | 2013-09-04 |
| Tidalhealth Peninsula Regional, Inc. | 1639 Woodbrooke Dr, Salisbury, MD 21804-8502 | Registered Dietitian | 2026-01-09 |
| Tidalhealth Peninsula Regional, Inc. | 201 Hall Hwy, Crisfield, MD 21817-1237 | Registered Dietitian | 2026-01-09 |
| Tidalhealth Peninsula Regional, Inc. | 100 E. Carroll Street, Suite 1435a, Salisbury, MD 21801 | Specialty Pharmacy | 2017-02-02 |
| Tidalhealth Peninsula Regional, Inc. | 11101 Cathage Rd, Berlin, MD 21811 | Community/Retail Pharmacy | 2014-10-17 |
| 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 |
|---|---|---|---|
| Naila Anjum Zahid | 13 Lyon Rd, Rancho Mirage, CA 92270-2720 | Hematology & Oncology Physician | 2026-04-02 |
| Heme Onc Call | 15511 N Florida Ave Ste 107-108, Tampa, FL 33613-1263 | Hematology & Oncology Physician | 2026-03-25 |
| Ephraim Mcdowell Health Resource, Inc. | 95 Bogle Office Park Dr, Somerset, KY 42503-2810 | Hematology & Oncology Physician | 2026-02-18 |
| Skaggs Community Hospital Association | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | Hematology & Oncology Physician | 2026-02-11 |
| North Shore Hematology Oncology Associates PC | 210 E 86th St, New York, NY 10028-3003 | Hematology & Oncology Physician | 2025-11-25 |
| Stuart Oncology Associates, Pa | 448 Se Osceola St, Stuart, FL 34994-2577 | Hematology & Oncology Physician | 2026-02-16 |
| Maryland Oncology Hematology | 112 Thomas Johnson Dr Ste 250, Frederick, MD 21702-4972 | Hematology & Oncology Physician | 2026-02-25 |
| Tidalhealth Specialty Care, LLC | 9707 Healthway Dr, Berlin, MD 21811-3500 | Hematology & Oncology Physician | 2025-11-26 |
| North Shore Hematology Oncology Associates PC | 611 Gidney Ave, Newburgh, NY 12550-2823 | Hematology & Oncology Physician | 2025-11-25 |
| Titan Health Partners LLC | 308 Willow Ave Ste 6, Hoboken, NJ 07030-3808 | Hematology & Oncology Physician | 2026-02-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
11105 CATHAGE RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-2131 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Physician Network, Inc. | 11105 Cathage Rd, Berlin, MD 21811-2131 | Oncology Clinic/Center | 2024-06-26 |
| Flavio W Kruter | 11105 Cathage Rd, Berlin, MD 21811-2131 | Hematology & Oncology Physician | 2005-05-23 |
| Peninsula Regional Medical Center | 11105 Cathage Rd, Berlin, MD 21811-2131 | Hematology & Oncology Physician | 2025-12-02 |
| Tidalhealth Specialty Care, LLC | 11105 Cathage Rd, Berlin, MD 21811-2131 | Medical Oncology Physician | 2025-06-14 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Krysten Sarah Wolinski | 9958 N Main St, Berlin, MD 21811-1076 | Physician Assistant | 2019-03-01 |
| Med.One Pharmacy, Inc. | 10119 Old Ocean City Blvd, Berlin, MD 21811-1143 | Pharmacy | 2011-07-27 |
| Tidalhealth Specialty Care, LLC | 9714 Healthway Dr, Berlin, MD 21811-1154 | Specialist | 2025-11-26 |
| Mary Sopato Radatovich | 124 N Main St Ste C, Berlin, MD 21811-1062 | Clinical Social Worker | 2025-07-30 |
| Tidalhealth Primary Care, LLC | 10324 Old Ocean City Blvd, Berlin, MD 21811-1132 | Family Medicine Physician | 2025-11-26 |
| Tesher Ariel Freng | 10119 Old Ocean City Blvd, Berlin, MD 21811-1143 | Pharmacist | 2025-04-02 |
| Tidalhealth Primary Care, LLC | 9950 N Main St, Berlin, MD 21811-1076 | Family Medicine Physician | 2024-10-04 |
| Raymond Clifford | 9956 N Main St Unit 4, Berlin, MD 21811-1077 | Ophthalmology Physician | 2014-08-29 |
| Tidalhealth Peninsula Regional, Inc. | 11101 Cathage Rd, Berlin, MD 21811 | Community/Retail Pharmacy | 2014-10-17 |
| Susan E Vickers Dmd Pa | 11029 Racetrack Rd, Berlin, MD 21811 | Pediatric Dentist | 2007-03-13 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Peninsula Regional Medical Center | 100 E Carroll St, Patient Accounts, Salisbury, MD 21801-5422 | Pediatric Hospice and Palliative Medicine Physician | 2007-05-10 |
| Peninsula Day Care Inc | 1815 85th St, 3fl, Brooklyn, NY 11214-3112 | Adult Day Care Clinic/Center | 2013-07-16 |
| Peninsula Day Care Inc | 13225 Pople Ave Bsmt, Flushing, NY 11355-4406 | Adult Day Care Clinic/Center | 2025-09-12 |
| Peninsula Orthopaedic Assoc Pa | 1675 Woodbrooke Drive, Salisbury, MD 21804 | Prosthetic/Orthotic Supplier | 2006-08-21 |
| Vop Peninsula Opco, LLC | 5100 W Hallandale Beach Blvd, Hollywood, FL 33023-7005 | Assisted Living Facility | 2023-09-27 |
| Peninsula Pharmacy | 1294 W 6th St Ste 100, San Pedro, CA 90731-2997 | Pharmacy | 2006-06-14 |
| Peninsula Mental Health, Inc | 2100 Geng Rd Ste 210, Palo Alto, CA 94303-3307 | Psychiatry Physician | 2025-07-22 |
| Peninsula Counseling Center | 19500 10th Ave Ne Ste 270, Poulsbo, WA 98370-6553 | Clinical Social Worker | 2026-03-23 |
| Kenai Peninsula Borough | 144 N Binkley St, Soldotna, AK 99669-7520 | Land Ambulance | 2006-07-16 |
| Peninsula Diagnostics LLC | 445 Oriana Rd Ste 2, Newport News, VA 23608-3742 | Clinic/Center | 2022-01-10 |
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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. |