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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1245123157
Obstetrics & Gynecology in Salisbury, MD

Active since May 30, 2025
100 E CARROLL ST # A, SALISBURY, MD 21801(410) 543-6400 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1245123157) is a healthcare organization registered as an obstetrics & gynecology in Salisbury, Maryland and active in the NPI registry since May 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1245123157
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address100 E CARROLL ST # ASalisbury, MD 21801-5422
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461 · (410) 912-6758
Phone(410) 543-6400
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateMay 30, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1245123157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

100 E CARROLL ST # A, Salisbury, MD 21801
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Other Names 1

Other NameTidalhealth Obgyn

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

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 1245123157. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 100 E Carroll St # A, Salisbury, MD 21801. The listed phone number is (410) 543-6400.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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.