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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1013532969
Internal Medicine - Gastroenterology in Salisbury, MD

Active since June 16, 2020
1640 WOODBROOKE DR, SALISBURY, MD 21804(410) 912-5640 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Feb 28, 2023, Jun 16, 2020 (3 updates tracked since 2020).

About Tidalhealth Specialty Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1013532969) is a healthcare organization registered as a gastroenterology in Salisbury, Maryland and active in the NPI registry since June 2020. The organization maintains 2 additional practice locations and lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1013532969
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address1640 WOODBROOKE DRSalisbury, MD 21804-8501
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 912-5640
Organization SubpartYes
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJune 16, 2020
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1013532969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1640 WOODBROOKE DR, Salisbury, MD 21804
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Other Names 1

Other NameTidalhealth Gastroenterology

Secondary Practice Locations 2

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 912-6053
Location 211103 Cathage RdBerlin, MD 21811-2114 · Phone (410) 912-6021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE CULVER MSN, FNP
Nurse Practitioner (Family)
1640 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5640
OSAMA KHALED ALI KADDOURAH M.D.
Internal Medicine (Gastroenterology)
1640 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5640
HWAN YOUNG YOO MD
Internal Medicine (Gastroenterology)
1640 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidalhealth Specialty Care, LLC's NPI number?

The NPI number for Tidalhealth Specialty Care, LLC is 1013532969. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is also known as TidalHealth Gastroenterology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 1640 Woodbrooke Dr, Salisbury, MD 21804. The listed phone number is (410) 912-5640.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on July 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.