TIDALHEALTH SPECIALTY CARE, LLC
NPI 1619504735
Clinic/Center - Medical Specialty in Salisbury, MD
NPI Status: Active since March 26, 2020
Contact Information
100 E CARROLL ST
SALISBURY, MD
ZIP 21801
Phone: (410) 546-6400
Fax: (410) 912-4972
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
About TIDALHEALTH SPECIALTY CARE, LLC
This page provides the complete NPI Profile along with additional information for Tidalhealth Specialty Care, Llc, a provider established in Salisbury, Maryland operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1619504735 assigned on March 2020. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is William Pelot (Chief Administrative Officer)
- NPI
- 1619504735
- Provider Name
- TIDALHEALTH SPECIALTY CARE, LLC
- Entity Type
- Organization
- Location Address
- 100 E CARROLL ST SALISBURY, MD 21801
- Location Phone
- (410) 546-6400
- Location Fax
- (410) 912-4972
- Mailing Address
- 100 E CARROLL ST SALISBURY, MD 21801
- Mailing Phone
- (410) 546-6400
- Mailing Fax
- (410) 912-4972
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2020
- Last Update Date
- 05-28-2026
- Code Navigator
Location Map
Secondary Locations
- 1415 S Division St
Salisbury, MD 21804
(410) 572-8848 - 11105 Cathage Rd
Berlin, MD 21811
(410) 912-6330 - 314 Franklin Ave Ste 301
Berlin, MD 21811
(410) 628-0888 - 105 Milford St Ste 605
Salisbury, MD 21804
(410) 334-2227 - 30265 Commerce Dr Unit 104
Millsboro, DE 19966
(410) 749-4154 - 503 Health Services Dr
Seaford, DE 19973
(410) 749-4154 - 11107 Cathage Rd Unit 101
Ocean Pines, MD 21811
(410) 749-4154 - 1675 Woodbrooke Dr
Salisbury, MD 21804
(410) 749-4154 - 600 Glen Ave Ste 203
Salisbury, MD 21804
(410) 749-4154 - 641 S Salisbury Blvd
Salisbury, MD 21801
(410) 749-4154 - 1606 Savannah Rd Ste 1
Lewes, DE 19958
(410) 749-4154 - 329 Mullet Run
Milford, DE 19963
(410) 749-4154 - 424 Savannah Rd
Lewes, DE 19958
(410) 749-4154 - 18941 John J Williams Hwy
Rehoboth Beach, DE 19971
(410) 749-4154 - 801 Middleford Rd
Seaford, DE 19973
(410) 749-4154 - 400 Eastern Shore Dr
Salisbury, MD 21804
(410) 749-8906 - 314 Franklin Ave Ste 108
Berlin, MD 21811
(410) 912-6023 - 1630 Woodbrooke Dr
Salisbury, MD 21804
(410) 912-6114 - 9733 Healthway Dr
Berlin, MD 21811
(410) 749-4154 - 10344 Old Ocean City Blvd Ste 1
Berlin, MD 21811
(410) 912-6021 - 560 Riverside Dr Ste 106
Salisbury, MD 21801
(410) 543-7354 - 264 Tilghman Rd
Salisbury, MD 21804
(410) 742-7246 - 560 Riverside Dr Ste A206
Salisbury, MD 21801
(410) 912-5640 - 560 Riverside Dr Ste 106
Salisbury, MD 21801
(410) 543-7727 - 314 Franklin Ave Ste 402
Berlin, MD 21811
(410) 641-2236
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Bronze + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access Select PPO Bronze 3800 - PPO
- my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Bronze 9200 - PPO
- my Blue Access Select PPO Gold 0 - PPO
- my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Gold 1700 HSA - PPO
- my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619504735, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SALISBURY, MD 21801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619504735, enumerated as an "organization" on March 26, 2020.
The provider is located at 100 E CARROLL ST SALISBURY, MD 21801 and the phone number is (410) 546-6400.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.
