TIDALHEALTH SPECIALTY CARE, LLC
NPI 1245855196
Internal Medicine - Endocrinology, Diabetes & Metabolism in Salisbury, MD

Q: What is Tidalhealth Specialty Care, LLC's NPI number?

The NPI number for Tidalhealth Specialty Care, LLC is 1245855196. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is also known as TidalHealth Endocrinology.

Q: What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since June 16, 2020

1639 WOODBROOKE DR, SALISBURY, MD 21804(410) 912-7234(410) 572-6890 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: Feb 27, 2025, Feb 28, 2023, Jun 16, 2020 (3 updates tracked since 2020).

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About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1245855196) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Salisbury, Maryland and active in the NPI registry since June 2020. The organization maintains 2 additional practice locations and lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1245855196

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC

Location Address1639 WOODBROOKE DRSalisbury, MD 21804-8502

Mailing AddressPo Box 825461Philadelphia, PA 19182-5461

Phone(410) 912-7234

Fax(410) 572-6890

Organization SubpartYes

Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497

Enumeration DateJune 16, 2020

Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration

NPPES CertifiedJuly 22, 2025

✔ NPI 1245855196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1639 WOODBROOKE DR, Salisbury, MD 21804

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Other Names 1

Other NameTidalhealth Endocrinology

Secondary Practice Locations 2

Location 111107 Cathage Road, Suite 201Berlin, MD 21811-2156 · Phone (410) 629-0888

Location 2100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 912-6400

Group Practice 1

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREVA STUART NP

Nurse Practitioner (Adult Health)