Tidewater Dermatology, LLC
NPI 1891188991ActiveOrganization· Dermatology· Berlin, MD
Dermatology in Berlin, Maryland, registered in NPPES in March 2015. The authorized official on file is Anne P. Spillane, M.D., Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891188991 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2015 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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