TIDALHEALTH SPECIALTY CARE, LLC
NPI 1174336424
Internal Medicine - Cardiovascular Disease in Salisbury, MD

Active since January 30, 2025
400 EASTERN SHORE DR, SALISBURY, MD 21804(410) 749-8906 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1174336424) is a healthcare organization registered as a cardiovascular disease 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

NPI1174336424
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address400 EASTERN SHORE DRSalisbury, MD 21804-5513
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6053
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJanuary 30, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1174336424 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.
400 EASTERN SHORE DR, Salisbury, MD 21804

Other Names 1

Other NameTidalhealth Cardiology

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.

General Practice
400 EASTERN SHORE DR
SALISBURY, MD 21804
Physician Assistant
400 EASTERN SHORE DR
SALISBURY, MD 21804
Clinic/Center (Magnetic Resonance Imaging (MRI))
400 EASTERN SHORE DR, SUITE 104
SALISBURY, MD 21804
Internal Medicine (Clinical Cardiac Electrophysiology)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Internal Medicine (Cardiovascular Disease)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Nurse Practitioner (Family)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Internal Medicine (Clinical Cardiac Electrophysiology)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Obstetrics & Gynecology
400 EASTERN SHORE DR
SALISBURY, MD 21804

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 1174336424. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is also known as TidalHealth Cardiology.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 400 Eastern Shore Dr, Salisbury, MD 21804. The listed phone number is (410) 749-8906.

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 with the weekly NPPES data releases published by CMS.