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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1023829033
Internal Medicine - Endocrinology, Diabetes & Metabolism in Salisbury, MD

Active since January 17, 2025
1664 WOODBROOKE DR STE A, SALISBURY, MD 21804(410) 912-6716 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1023829033) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Salisbury, Maryland and active in the NPI registry since January 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1023829033
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address1664 WOODBROOKE DR STE ASalisbury, MD 21804-8501
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6053
Phone(410) 912-6716
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJanuary 17, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1023829033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1664 WOODBROOKE DR STE A, Salisbury, MD 21804
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Other Names 1

Other NameTidalhealth Specialty Endocrinology

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

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 1023829033. It was assigned to this organization in the NPPES registry on January 17, 2025. The provider is also known as TidalHealth Specialty Endocrinology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 1664 Woodbrooke Dr Ste A, Salisbury, MD 21804. The listed phone number is (410) 912-6716.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.