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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1174347330
Urology in Salisbury, MD

Active since November 13, 2024
1664 WOODBROOKE DR, SALISBURY, MD 21804(410) 912-6716 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Nov 20, 2024, Nov 13, 2024 (3 updates tracked since 2024).

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1174347330) is a healthcare organization registered as an urology in Salisbury, Maryland and active in the NPI registry since November 2024. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1174347330
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address1664 WOODBROOKE DRSalisbury, MD 21804
Mailing AddressPo Box 825461 N/aPhiladelphia, PA 19182-0001 · (410) 912-6053
Phone(410) 912-6716
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateNovember 13, 2024
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1174347330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
1664 WOODBROOKE DR, Salisbury, MD 21804
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Other Names 1

Other NameTidalhealth Specialtyy Care

Group Practice 2

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

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 1174347330. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is also known as Tidalhealth Specialtyy Care.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 1664 Woodbrooke Dr, Salisbury, MD 21804. The listed phone number is (410) 912-6716.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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.