TIDALHEALTH PRIMARY CARE, LLC
NPI 1134971807
Family Medicine in Salisbury, MD

NPI Status: Active since April 04, 2024

Contact Information

560 RIVERSIDE DR STE B204
SALISBURY, MD
ZIP 21801
Phone: (410) 543-7720

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  • Organization
  • Family Medicine

About TIDALHEALTH PRIMARY CARE, LLC

This page provides the complete NPI Profile along with additional information for Tidalhealth Primary Care, Llc, a primary care provider established in Salisbury, Maryland operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1134971807 assigned on April 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated July 2025. Tidalhealth Primary Care, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is William Pelot (Chief Administrator Officer)

NPI
1134971807
Provider Legal Name
TIDALHEALTH PRIMARY CARE, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
560 RIVERSIDE DR STE B204 SALISBURY, MD 21801
Location Phone
(410) 543-7720
Mailing Address
560 RIVERSIDE DR STE B204 SALISBURY, MD 21801
Mailing Phone
(410) 543-7720
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2024
Last Update Date
07-22-2025
Code Navigator

A primary care provider (PCP) like Tidalhealth Primary Care, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM PELOT

Authorized Official Title
CHIEF ADMINISTRATOR OFFICER
Authorized Official Phone
(410) 543-7497

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134971807
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164187280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 8 + 7 + 2 + 8 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134971807 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

RIVERSIDE NEUROLOGY LLC

Psychiatry & Neurology

(Neurology)

560 RIVERSIDE DR STE B204
SALISBURY, MD
ZIP 21801

(410) 546-5722

RIVERSIDE NEUROLOGY ASSOCIATES LLC

Psychiatry & Neurology

(Neurology)

560 RIVERSIDE DR STE B204
SALISBURY, MD
ZIP 21801

(410) 546-5722

TIDALHEALTH PRIMARY CARE, LLC

Family Medicine

560 RIVERSIDE DR STE B204
SALISBURY, MD
ZIP 21801

(410) 543-7720

TIDALHEALTH SPECIALTY CARE, LLC

Internal Medicine

(Rheumatology)

560 RIVERSIDE DR STE B204
SALISBURY, MD
ZIP 21801

(410) 912-5640

TIDALHEALTH SPECIALTY CARE, LLC

Internal Medicine

(Geriatric Medicine)

560 RIVERSIDE DR STE B204
SALISBURY, MD
ZIP 21801

(410) 912-6793

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134971807, enumerated as an "organization" on April 04, 2024.

The provider is located at 560 RIVERSIDE DR STE B204 SALISBURY, MD 21801 and the phone number is (410) 543-7720.

Family Medicine with taxonomy code 207Q00000X.