TIDALHEALTH SPECIALTY CARE, LLC
NPI 1174347330
Urology in Salisbury, MD
- Organization
- Urology
About TIDALHEALTH SPECIALTY CARE, LLC
This page provides the complete NPI Profile along with additional information for Tidalhealth Specialty Care, Llc, a provider established in Salisbury, Maryland operating as a Urology. The healthcare provider is registered in the NPI registry with number 1174347330 assigned on November 2024. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. Tidalhealth Specialty Care, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is William Pelot (Chief Administrative Officer)
- NPI
- 1174347330 Verify this NPI
- Provider Name
- TIDALHEALTH SPECIALTY CARE, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1664 WOODBROOKE DR SALISBURY, MD 21804
- Location Phone
- (410) 912-6716
- Mailing Address
- PO BOX 825461 N/A PHILADELPHIA, PA 19182
- Mailing Phone
- (410) 912-6053
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2024
- Last Update Date
- 07-22-2025
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174347330, enumerated as an "organization" on November 13, 2024.
The provider is located at 1664 WOODBROOKE DR SALISBURY, MD 21804 and the phone number is (410) 912-6716.
Urology with taxonomy code 208800000X.
