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TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1184832040
Family Medicine in Salisbury, MD

Active since May 21, 2007
100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP, SALISBURY, MD 21801(410) 543-7252(410) 912-6386 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2023, Nov 16, 2020, Oct 15, 2018 (3 updates tracked since 2018).

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1184832040) is a healthcare organization registered as a family medicine in Salisbury, Maryland and active in the NPI registry since May 2007. The organization lists Stephanie Gary, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184832040
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUPSalisbury, MD 21801-5422
Mailing Address100 E Carroll St, Peninsula Regional Medical GroupSalisbury, MD 21801-5422 · (410) 543-7252 · Fax (410) 912-6386
Phone(410) 543-7252
Fax(410) 912-6386
Organization SubpartNo
Authorized OfficialStephanie GaryCfo · (410) 912-6059
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1184832040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
100 E CARROLL ST, Salisbury, MD 21801
Open in Google Maps ↗

Other Identifiers 13

OtherCC4271MD · Medicare Rrb
OtherCA8333MD · Medicare Rrb
Medicaid0000241502DE
OtherC10607VA · Medicare Ptan
OtherK230MD · Medicare Nsc
OtherK230MD · Medicare Ptan
Medicaid401428600MD
OtherCA8334DE · Medicare Rrb
OtherG01753DE · Medicare Nsc
Medicaid525701800MD
OtherC10607VA · Medicare Nsc
OtherCC3716MD · Medicare Rrb
OtherG01753DE · Medicare Ptan

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

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.

CHARLES B SILVIA JR. MD
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Wicomico County (410) 543-7536
ASSOCIATED ANESTHESIOLOGY PRACTICE P.A.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
DR. JOHN J GIUSTOZZI M.D.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
DR. JOHN Y CHUN M.D.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
DR. BRENT R FOX M.D.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 742-4401
DR. JAMES MARK SKOLKA M.D.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
DR. THOMAS E KELLY M.D.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 742-4401
DR. PATRICK MCCULLOUGH DOM M.D.
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375

Frequently Asked Questions

What is TIDALHEALTH PENINSULA REGIONAL, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1184832040, enumerated as an "organization" on May 21, 2007.

Where is the provider located?

The provider is located at 100 E CARROLL ST PENINSULA REGIONAL MEDICAL GROUP SALISBURY, MD 21801 and the phone number is (410) 543-7252.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does TIDALHEALTH PENINSULA REGIONAL, INC. accept?

The provider might be accepting Accepts: AmeriHealth Caritas Next, Highmark Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.