TIDALHEALTH SPECIALTY CARE, LLC
NPI 1124643184
Internal Medicine - Pulmonary Disease in Salisbury, MD

Active since June 15, 2020
100 E CARROLL ST, SALISBURY, MD 21801(410) 543-7722(410) 543-7725 Get Directions Write a Review

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

Record update history: Feb 4, 2025, Feb 28, 2023, Jun 15, 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 1124643184) is a healthcare organization registered as a pulmonary disease in Salisbury, Maryland and active in the NPI registry since June 2020. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1124643184
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 543-7722 · Fax (410) 543-7725
Fax(410) 543-7725
Organization SubpartYes
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJune 15, 2020
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1124643184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
100 E CARROLL ST, Salisbury, MD 21801

Other Names 1

Other NameTidalhealth Pulmonology

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 20

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

Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801

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 1124643184. It was assigned to this organization in the NPPES registry on June 15, 2020. The provider is also known as TidalHealth Pulmonology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 543-7722.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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.