TIDALHEALTH SPECIALTY CARE, LLC
NPI 1669067534
Obstetrics & Gynecology in Salisbury, MD

Active since March 03, 2021
400 EASTERN SHORE DR, SALISBURY, MD 21804(410) 912-4976 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Mar 3, 2021 (2 updates tracked since 2021).

About Tidalhealth Specialty Care, Llc NPPES

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

TIDALHEALTH SPECIALTY CARE, LLC (NPI 1669067534) is a healthcare organization registered as an obstetrics & gynecology in Salisbury, Maryland and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Salisbury and lists William Pelot, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1669067534
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address400 EASTERN SHORE DRSalisbury, MD 21804-5513
Mailing AddressPo Box 2498Salisbury, MD 21802-2498
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrative Officer · (410) 543-7497
Enumeration DateMarch 3, 2021
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1669067534 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.
400 EASTERN SHORE DR, Salisbury, MD 21804

Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 912-6400

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 20

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

General Practice
400 EASTERN SHORE DR
SALISBURY, MD 21804
Physician Assistant
400 EASTERN SHORE DR
SALISBURY, MD 21804
Internal Medicine (Cardiovascular Disease)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Clinic/Center (Magnetic Resonance Imaging (MRI))
400 EASTERN SHORE DR, SUITE 104
SALISBURY, MD 21804
Internal Medicine (Clinical Cardiac Electrophysiology)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Internal Medicine (Cardiovascular Disease)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Nurse Practitioner (Family)
400 EASTERN SHORE DR
SALISBURY, MD 21804
Internal Medicine (Clinical Cardiac Electrophysiology)
400 EASTERN SHORE DR
SALISBURY, MD 21804

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 1669067534. It was assigned to this organization in the NPPES registry on March 3, 2021.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 400 Eastern Shore Dr, Salisbury, MD 21804. The listed phone number is (410) 912-4976.

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.