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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1407748478
Internal Medicine - Geriatric Medicine in Salisbury, MD

Active since July 16, 2025
560 RIVERSIDE DR STE B204, SALISBURY, MD 21801(410) 912-6793 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1407748478) is a healthcare organization registered as a geriatric medicine in Salisbury, Maryland and active in the NPI registry since July 2025. The organization lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1407748478
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address560 RIVERSIDE DR STE B204Salisbury, MD 21801-4703
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 912-6793
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateJuly 16, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1407748478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
560 RIVERSIDE DR STE B204, Salisbury, MD 21801
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Other Names 1

Other NameTidalhealth Geriatrics

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

Other Providers at the Same Location NPPES 5

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

RIVERSIDE NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 546-5722
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 543-7720
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 543-7720
RIVERSIDE NEUROLOGY ASSOCIATES LLC
Psychiatry & Neurology (Neurology)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 546-5722
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Rheumatology)
560 RIVERSIDE DR STE B204
SALISBURY, MD 21801
Wicomico County (410) 912-5640

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 1407748478. It was assigned to this organization in the NPPES registry on July 16, 2025. The provider is also known as TidalHealth Geriatrics.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 560 Riverside Dr Ste B204, Salisbury, MD 21801. The listed phone number is (410) 912-6793.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

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.