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: August 16, 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
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 · 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 ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
100 E CARROLL ST, Salisbury, MD 21801

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

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.

Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801

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 Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1184832040. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 100 E Carroll St Peninsula Regional Medical Group, Salisbury, MD 21801. The listed phone number is (410) 543-7252.

What is Tidalhealth Peninsula Regional, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Tidalhealth Peninsula Regional, Inc. accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Tidalhealth Peninsula Regional, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.