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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1053936906
Internal Medicine - Cardiovascular Disease in Salisbury, MD

Active since June 16, 2020
106 MILFORD ST, SALISBURY, MD 21804(410) 334-2227 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 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 1053936906) is a healthcare organization registered as a cardiovascular disease in Salisbury, Maryland and active in the NPI registry since June 2020. The organization maintains 6 additional practice locations and lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1053936906
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address106 MILFORD STSalisbury, MD 21804-6953
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 334-2227
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 1053936906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
106 MILFORD ST, Salisbury, MD 21804
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Other Names 1

Other NameTidalhealth Cardiology

Secondary Practice Locations 6

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 912-6400
Location 2400 Eastern Shore DrSalisbury, MD 21804-5513 · Phone (410) 749-8906
Location 3801 Middleford RdSeaford, DE 19973-3636 · Phone (302) 629-6611
Location 4200 Federal StSeaford, DE 19973-5764 · Phone (302) 629-3251
Location 59733 Healthway DrBerlin, MD 21811-1155 · Phone (410) 334-2227
Location 611107 Cathage Road, Suite 201Berlin, MD 21811-2156 · Phone (410) 629-0888 · Fax (410) 629-1993

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MYRNA KAY LEHNER C.P.N.P.
Nurse Practitioner
106 MILFORD ST, STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1952
DR. JAMES JOSEPH KLOCEK D.P.M.
Podiatrist
106 MILFORD ST, SUITE 504-A
SALISBURY, MD 21804
Wicomico County (410) 546-2288
SALISBURY FOOT & ANKLE CENTER PA
Podiatrist
106 MILFORD ST, STE 403
SALISBURY, MD 21804
Wicomico County (410) 749-6363
AMY D. WALSH, M.D.
Clinic/Center (Primary Care)
106 MILFORD ST, SUITE 306
SALISBURY, MD 21804
Wicomico County (410) 677-6500
DR. MARK DAVID WALSH M.D.
Psychiatry & Neurology (Psychiatry)
106 MILFORD ST, SUITE 306
SALISBURY, MD 21804
Wicomico County (410) 677-6500
MRS. ELIZABETH THOMAS GUY MSN, CRNP
Nurse Practitioner (Family)
106 MILFORD ST, SUITE 605
SALISBURY, MD 21804
Wicomico County (410) 334-2227
DR. JEFFREY HOWARD ETHERTON M.D.
Internal Medicine (Interventional Cardiology)
106 MILFORD ST, SUITE 605
SALISBURY, MD 21804
Wicomico County (410) 334-2227
EASTERN SHORE ENT & ALLERGY
Otolaryngology (Plastic Surgery within the Head & Neck)
106 MILFORD ST, SUITE 101
SALISBURY, MD 21804
Wicomico County (410) 742-1908

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 1053936906. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is also known as TidalHealth Cardiology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 106 Milford St, Salisbury, MD 21804. The listed phone number is (410) 334-2227.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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.