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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1700765633
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Millsboro, DE

Active since August 27, 2025
30265 COMMERCE DR UNIT 103, MILLSBORO, DE 19966(302) 297-2598 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1700765633) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Millsboro, Delaware and active in the NPI registry since August 2025. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1700765633
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address30265 COMMERCE DR UNIT 103Millsboro, DE 19966-3594
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(302) 297-2598
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1700765633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
30265 COMMERCE DR UNIT 103, Millsboro, DE 19966
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Other Names 1

Other NameTidalhealth Cardiovascular Surgery

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.

KURT EMIL WEHBERG MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
30265 COMMERCE DR UNIT 103
MILLSBORO, DE 19966
Sussex County (302) 934-6514
TIDALHEALTH SPECIALTY CARE, LLC
Orthopaedic Surgery
30265 COMMERCE DR UNIT 103
MILLSBORO, DE 19966
Sussex County (410) 749-4154
WILLIAM ROBERT DORAN D.O.
Orthopaedic Surgery
30265 COMMERCE DR UNIT 103
MILLSBORO, DE 19966
Sussex County (302) 297-2598
TIDALHEALTH SPECIALTY CARE, LLC
Clinic/Center (Medical Specialty)
30265 COMMERCE DR UNIT 103
MILLSBORO, DE 19966
Sussex County (302) 990-3280
COURTNEY CAPUTO PA-C
Physician Assistant
30265 COMMERCE DR UNIT 103
MILLSBORO, DE 19966
Sussex County (302) 990-3280

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 1700765633. It was assigned to this organization in the NPPES registry on August 27, 2025. The provider is also known as TidalHealth Cardiovascular Surgery.

Where is Tidalhealth Specialty Care, LLC located?

Tidalhealth Specialty Care, LLC is located at 30265 Commerce Dr Unit 103, Millsboro, DE 19966. The listed phone number is (302) 297-2598.

What is Tidalhealth Specialty Care, LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Specialty Care, LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.