Tidalhealth Primary Care, LLC is a Family Medicine Physician (organization) practicing in Ocean View, Delaware. The National Provider Identifier (NPI) is #1558223610, 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 96 Atlantic Ave Ste 101, Ocean View, DE 19970-9103; the contact telephone number is 3025414460. The primary taxonomy of Tidalhealth Primary Care, LLC is Family Medicine Physician (207Q00000X). The authorized official for Tidalhealth Primary Care, LLC is Sloan Trammell (Credentialing Manager).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1558223610 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH PRIMARY CARE, LLC |
| Provider Name | TIDALHEALTH PRIMARY CARE, LLC |
| Practice Address |
96 Atlantic Ave Ste 101 Ocean View DE 19970-9103 |
| Practice Telephone | 3025414460 |
| Mailing Address |
Po Box 825474 Philadelphia PA 19182-5474 |
| 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 | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Primary Care, LLC | 201 Hall Hwy, Crisfield, MD 21817-1237 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Primary Care, LLC | 428 W Market St, Snow Hill, MD 21863-1127 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Primary Care, LLC | 37464 Lion Drive, Ste 2, Selbyville, DE 19975 | Family Medicine Physician | 2025-12-05 |
| Tidalhealth Primary Care, LLC | 10324 Old Ocean City Blvd, Berlin, MD 21811-1132 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Primary Care, LLC | 1001 Philadelphia Ave Ste B, Ocean City, MD 21842-3735 | 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 | 15 N Williams St, Selbyville, DE 19975-7514 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Primary Care, LLC | 145 E Carroll St Ste 101-102, Salisbury, MD 21801-5454 | Family Medicine Physician | 2024-10-08 |
| Tidalhealth Primary Care, LLC | 6040 Public Landing Rd, Snow Hill, MD 21863-2453 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Primary Care, LLC | 12308 Ocean Gtwy Ste 1, Ocean City, MD 21842-9341 | Family Medicine Physician | 2025-11-26 |
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| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Apex Health Care | 25 Hidden Ravines Dr, Powell, OH 43065-9883 | Family Medicine Physician | 2026-04-09 |
| Katarina Milosavljevic | 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | Family Medicine Physician | 2026-04-11 |
| Casa De Salud Primary Care | 167 El Dorado St, Monterey, CA 93940-3117 | Family Medicine Physician | 2026-04-10 |
| Anna Sezanova | 2984 Bd Taschereau, #103, Greenfield Park, NH 03104 | Family Medicine Physician | 2026-04-09 |
| Aviator Health Services New Jersey, P.C. | 100 Franklin Square Dr Ste 434, Somerset, NJ 08873-4109 | Family Medicine Physician | 2026-04-11 |
| Max Zhong | 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000 | Family Medicine Physician | 2026-04-09 |
| Nicole Alexander Spencer Md Inc | 23326 Hawthorne Blvd Ste 110, Torrance, CA 90505-3735 | Family Medicine Physician | 2026-04-10 |
| Sarajean E Sponaugle | 777 N Raymond St, Boise, ID 83704-9251 | Family Medicine Physician | 2026-04-09 |
| Crystal Lynn Kalen | 1431 Sw 1st Ter, Cape Coral, FL 33991-1402 | Family Medicine Physician | 2026-04-10 |
| Michael Burke Delage Jr. | 601 Park St, Honesdale, PA 18431-1498 | Family Medicine Physician | 2026-04-09 |
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| Street Address |
96 ATLANTIC AVE STE 101 |
| City | OCEAN VIEW |
| State | DE |
| Zip Code | 19970-9103 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 96 Atlantic Ave Ste 101, Ocean View, DE 19970-9103 | Rheumatology Physician | 2025-11-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jillian Laura Mudry · Jillian Laura Zuppo | 96 Atlantic Ave Ste 103, Ocean View, DE 19970-9103 | Registered Nurse | 2016-08-09 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Molly Pizzo | 111 Atlantic Ave Ste 1, Ocean View, DE 19970-9166 | Physical Therapist | 2023-06-01 |
| Matrix Rehabilitation Delaware, Inc | 118 Atlantic Ave, Ocean View, DE 19970-9163 | Rehabilitation Clinic/Center | 2006-07-04 |
| Allison Bokser | 90 Atlantic Ave, Ocean View, DE 19970-9121 | Family Nurse Practitioner | 2026-04-08 |
| Nurtured Club Therapy, LLC | 30979 Oakwood Rd, Ocean View, DE 19970-3812 | Mental Health Counselor | 2026-02-26 |
| Avery Rowles | 111 Atlantic Ave Ste 1, Ocean View, DE 19970-9166 | Physical Therapist | 2025-08-18 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Michael Hunter | 3 Inlet Ter, Ocean View, NJ 08230-1506 | Acute Care Nurse Practitioner | 2026-03-02 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jordan Mackenzie Mitcehll | 640 S State St, Dover, DE 19901-3530 | Student in an Organized Health Care Education/Training Program | 2026-04-09 |
| Hunter Fitz-Hugh Smith | 501 W 14th St, Wilmington, DE 19801-1013 | Student in an Organized Health Care Education/Training Program | 2026-04-10 |
| Jessica Estella Mask | 704 N Rodney St, Wilmington, DE 19805-3129 | Health & Wellness Coach | 2026-04-09 |
| Kyanna Orr | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | Student in an Organized Health Care Education/Training Program | 2026-04-10 |
| Atiya Chase | 700 Barksdale Rd Ste 6, Newark, DE 19711-3260 | Counselor | 2026-04-11 |
| Finbar Health | 896 S State St, Dover, DE 19901-4148 | Rehabilitation Chiropractor | 2026-04-09 |
| The Life Center Complex, Inc | 1570 N Dupont Hwy, Dover, DE 19901-2215 | Family Nurse Practitioner | 2026-04-11 |
| The Life Center Complex, Inc | 852 S Little Creek Rd, Dover, DE 19901-4722 | Clinical Social Worker | 2026-04-11 |
| Daniel & Max, LLC | 4737 Concord Pike, Wilmington, DE 19803-1442 | Eyewear Supplier | 2026-04-10 |
| Jamiah Eley | 1034 W Stein Hwy, Seaford, DE 19973-1145 | Behavior Technician | 2026-04-10 |
| Find all providers in the state of DE | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 11101 Cathage Rd, Unit 102, Berlin, MD 21811-2115 | Adolescent and Children Mental Health Clinic/Center | 2022-01-07 |
| Tidalhealth Specialty Care, LLC | 329 Mullet Run, Milford, DE 19963-5373 | Durable Medical Equipment & Medical Supplies | 2026-03-18 |
| Tidalhealth Specialty Care, LLC | 1639 Woodbrooke Dr, Salisbury, MD 21804 | Adolescent and Children Mental Health Clinic/Center | 2022-01-10 |
| Tidalhealth Specialty Care, LLC | 1606 Savannah Rd Ste 1, Lewes, DE 19958-1656 | Durable Medical Equipment & Medical Supplies | 2026-03-18 |
| Tidalhealth Specialty Care, LLC | 9707 Healthway Dr, Berlin, MD 21811-3500 | Hematology & Oncology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 1652 Woodbrooke Drive, Suite B, Salisbury, MD 21804-8507 | Rheumatology Physician | 2025-10-31 |
| Tidalhealth Specialty Care, LLC | 327 Tilghman Rd Ste 200, Salisbury, MD 21804-2015 | Diagnostic Radiology Physician | 2026-01-30 |
| Tidalhealth Specialty Care, LLC | 100 E Carroll St, Salisbury, MD 21801-5422 | Medical Specialty Clinic/Center | 2020-03-26 |
| Tidalhealth Specialty Care, LLC | 314 Franklin Ave Ste 201, Berlin, MD 21811-1237 | Orthopaedic Surgery Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | Orthopaedic Hand Surgery Physician | 2026-03-18 |
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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. |