Tidalhealth Primary Care, LLC · Family Medicine Physician

12308 Ocean Gtwy Ste 1, Ocean City, MD 21842-9341

Overview

Tidalhealth Primary Care, LLC is a Family Medicine Physician (organization) practicing in Ocean City, Maryland. The National Provider Identifier (NPI) is #1568324622, 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 12308 Ocean Gtwy Ste 1, Ocean City, MD 21842-9341; the contact telephone number is 4103903341. 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 Supervisor).

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.

Provider Information

NPI 1568324622
Entity Type Organization
Organization Name TIDALHEALTH PRIMARY CARE, LLC
Provider Name TIDALHEALTH PRIMARY CARE, LLC
Practice Address 12308 Ocean Gtwy Ste 1
Ocean City
MD 21842-9341
Practice Telephone 4103903341
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

Authorized Official Information

Official Name SLOAN TRAMMELL
Official Title CREDENTIALING SUPERVISOR
Telephone 4109126989

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily Medicine193200000X MULTI-SPECIALTY GROUP

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Tidalhealth Primary Care, LLC 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703Family Medicine Physician2024-03-05
Tidalhealth Primary Care, LLC 15 N Williams St, Selbyville, DE 19975-7514Family Medicine Physician2025-11-26
Tidalhealth Primary Care, LLC 37464 Lion Drive, Ste 2, Selbyville, DE 19975Family Medicine Physician2025-12-05
Tidalhealth Primary Care, LLC 96 Atlantic Ave Ste 101, Ocean View, DE 19970-9103Family Medicine Physician2025-11-26
Tidalhealth Primary Care, LLC 305 10th St Ste 101, Pocomoke City, MD 21851-1607Family Medicine Physician2024-10-04
Tidalhealth Primary Care, LLC 6040 Public Landing Rd, Snow Hill, MD 21863-2453Family Medicine Physician2025-11-26
Tidalhealth Primary Care, LLC 1001 Philadelphia Ave Ste B, Ocean City, MD 21842-3735Family Medicine Physician2025-11-26
Tidalhealth Primary Care, LLC 145 E Carroll St Ste 101-102, Salisbury, MD 21801-5454Family Medicine Physician2024-10-08
Tidalhealth Primary Care, LLC 1639 Woodbrooke Dr, Salisbury, MD 21804-8502Family Medicine Physician2024-10-04
Tidalhealth Primary Care, LLC 201 Hall Hwy, Crisfield, MD 21817-1237Family Medicine Physician2024-10-04
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Taxonomy Information

Primary Taxonomy

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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Bailey Scott 8635 Middlebrook Pike, Knoxville, TN 37923-1612Family Medicine Physician2026-04-10
Max Zhong 4461 State Route 159 Ste A, Chillicothe, OH 45601-6000Family Medicine Physician2026-04-09
Aviator Health Services New Jersey, P.C. 100 Franklin Square Dr Ste 434, Somerset, NJ 08873-4109Family Medicine Physician2026-04-11
Sarajean E Sponaugle 777 N Raymond St, Boise, ID 83704-9251Family Medicine Physician2026-04-09
Crystal Lynn Kalen 1431 Sw 1st Ter, Cape Coral, FL 33991-1402Family Medicine Physician2026-04-10
Nicole Alexander Spencer Md Inc 23326 Hawthorne Blvd Ste 110, Torrance, CA 90505-3735Family Medicine Physician2026-04-10
Katarina Milosavljevic 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000Family Medicine Physician2026-04-11
Manuel Polo 8621 Lawson St, El Paso, TX 79904-1992Family Medicine Physician2026-04-09
Clarke Middle Health Center 1235 Baxter St, Athens, GA 30606-3711Family Medicine Physician2026-04-09
Amber Cartwright 8115 S Memorial Dr, Tulsa, OK 74133-4331Family Medicine Physician2026-04-09
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Location Information

Street Address 12308 OCEAN GTWY STE 1
City OCEAN CITY
State MD
Zip Code 21842-9341
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Dr. Suzanne M. Sampson LLC 11944 Ocean Gtwy Ste B, Ocean City, MD 21842-9506Chiropractor2026-03-27
Amanda Barton 2604 Judlee Ave, Ocean City, MD 21842-5430Clinical Social Worker2023-06-08
Maia Perone 9723 Village Ln Unit 5, Ocean City, MD 21842-9741Nutritionist2025-08-08
Ocean Wellness 12641 Ocean Gateway #1008, Ste 96, Ocean City, MD 21842-9527Community/Behavioral Health Agency2025-08-01
Tidalhealth Primary Care, LLC 1001 Philadelphia Ave Ste B, Ocean City, MD 21842-3735Family Medicine Physician2025-11-26
Tina Walas 10324 North Rd, Ocean City, MD 21842-9742Physical Therapy Assistant2025-09-09
Suzanne Marie Sampson 11944 Ocean Gtwy Ste B, Ocean City, MD 21842-9506Chiropractor2007-02-22
Andria L Mccormack 12915 Riggin Ridge Rd, Ocean City, MD 21842-9715Registered Dietitian2025-10-28
Kali Becker 9923 Stephen Decatur Hwy, Ocean City, MD 21842-9658Physical Therapist2024-08-29
Sughanda Khanna 12417 Ocean Gtwy Ste 7, Ocean City, MD 21842-9522Addiction Medicine (Preventive Medicine) Physician2006-01-25
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Tidalhealth Specialty Care, LLC 9707 Healthway Dr, Berlin, MD 21811-3500Hematology & Oncology Physician2025-11-26
Tidalhealth Specialty Care, LLC 804 Snow Hill Rd, Salisbury, MD 21804-1938Diagnostic Radiology Physician2026-01-30
Tidalhealth Specialty Care, LLC 400 Eastern Shore Dr, Salisbury, MD 21804-5513Obstetrics & Gynecology Physician2021-03-03
Tidalhealth Specialty Care, LLC 100 E Carroll St, Salisbury, MD 21801-5422Medical Specialty Clinic/Center2020-03-26
Tidalhealth Specialty Care, LLC 1606 Savannah Rd Ste 1, Lewes, DE 19958-1656Durable Medical Equipment & Medical Supplies2026-03-18
Tidalhealth Specialty Care, LLC 327 Tilghman Rd Ste 200, Salisbury, MD 21804-2015Diagnostic Radiology Physician2026-01-30
Tidalhealth Specialty Care, LLC 314 Franklin Ave Ste 201, Berlin, MD 21811-1237Orthopaedic Surgery Physician2025-11-26
Tidalhealth Specialty Care, LLC 100 E Carroll St, Salisbury, MD 21801-5422Diagnostic Radiology Physician2025-10-15
Tidalhealth Specialty Care, LLC 30265 Commerce Dr Unit 105, Millsboro, DE 19966-3594Cardiovascular Disease Physician2025-11-18
Tidalhealth Specialty Care, LLC 1675 Woodbrooke Dr, Salisbury, MD 21804-8502Orthopaedic Hand Surgery Physician2026-03-18

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Dataset Information

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

Dataset Details

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.