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TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1093672065
Family Medicine in Salisbury, MD

Active since January 09, 2026
1639 WOODBROOKE DR, SALISBURY, MD 21804(410) 912-5785 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1093672065) is a healthcare organization registered as a family medicine in Salisbury, Maryland and active in the NPI registry since January 2026. The organization lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1093672065
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address1639 WOODBROOKE DRSalisbury, MD 21804-8502
Mailing AddressPo Box 826880Philadelphia, PA 19182-6880
Phone(410) 912-5785
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1093672065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
1639 WOODBROOKE DR, Salisbury, MD 21804
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

TREVA STUART NP
Nurse Practitioner (Adult Health)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-7234
TIDALHEALTH SPECIALTY CARE, LLC
Clinic/Center (Adult Mental Health)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 543-7475
UNIVERSITY OF MARYLAND PEDIATRIC ASSOCIATES, PA
Clinic/Center (Multi-Specialty)
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 543-7586
MR. SALMAN ZAHOOR BHAT MBBS,MD
Internal Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 572-8848
TIDALHEALTH SPECIALTY CARE, LLC
Pediatrics
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 912-5785
NEIL ANJAN BASUMALLIK MD
Internal Medicine
1639 WOODBROOKE DR
SALISBURY, MD 21804
Wicomico County (410) 543-7475

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 Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1093672065. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 1639 Woodbrooke Dr, Salisbury, MD 21804. The listed phone number is (410) 912-5785.

What is Tidalhealth Peninsula Regional, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.