Tidewater Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TIDEWATER DERMATOLOGY, LLC

Doing business as

Tidewater Dermatology

Practice address

314 Franklin Ave Ste 401
Berlin, MD 21811-1263

Phone

(410) 641-2222

Fax

(844) 715-9464

NPI assigned

Mar 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anne P Spillane, M.D.NPI 1043415789

Title

Managing Partner

Phone

(410) 641-2222

Specialties & licenses 1

Addresses

Other names 1

• Tidewater Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Patricia Spillane, M.D.

  • Dermatology Physician
  • Berlin, MD
  • NPI 1043415789
  Medicare reassignment Care Compare group NPD Authorized official
• Erin L Spillane, M.D.

  • Dermatology Physician
  • Berlin, MD
  • NPI 1033316823
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1891188991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 401",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-641-2222",
            "fax_number": "844-715-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 401",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-641-2222",
            "fax_number": "844-715-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "SPILLANE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "410-641-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidewater Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tidalhealth Specialty Care, LLC
• Tidalhealth Specialty Care, LLC
• Tidalhealth Specialty Care, LLC
• Tidalhealth Specialty Care, LLC
• Tidalhealth Specialty Care, LLC
• Tidewater Wellness, LLC
• Tracy Layfield Tilghman, LCPC
• Tawhanda Timmons
• Kahri Tipton
• Katerina Bozhikova Todorov, MD

• Dermatology Physician in Berlin, MD
• Providers in Berlin, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.