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TIDALHEALTH PRIMARY CARE, LLC
NPI 1720807092
Family Medicine in Crisfield, MD

Active since October 04, 2024
201 HALL HWY, CRISFIELD, MD 21817(410) 968-1801 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tidalhealth Primary Care, Llc NPPES

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

TIDALHEALTH PRIMARY CARE, LLC (NPI 1720807092) is a healthcare organization registered as a family medicine in Crisfield, Maryland and active in the NPI registry since October 2024. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1720807092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDALHEALTH PRIMARY CARE, LLC
Location Address201 HALL HWYCrisfield, MD 21817-1237
Mailing AddressPo Box 825474Philadelphia, PA 19182-5474 · (410) 912-6989 · Fax (410) 912-4972
Phone(410) 968-1801
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateOctober 4, 2024
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1720807092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 HALL HWY, Crisfield, MD 21817
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Other Names 1

Other NameTidalhealth Primary Care

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


The following 20 providers are registered at the same or a nearby location.

JAMES DENNIS MCGETTIGAN M.D.
Emergency Medicine
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Anesthesiology
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Psychiatry & Neurology (Psychiatry)
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
DR. MICHAEL C RABEL MPT, D.SC., OCS
Physical Therapist (Orthopedic)
201 HALL HWY, PHYSICAL THERAPY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Pharmacy
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Assisted Living Facility
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MS. VERLIN TERRI MEEKINS RN
Registered Nurse (Diabetes Educator)
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION INC
Counselor (Addiction (Substance Use Disorder))
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1029
KEVIN THOMAS DPM PC
Podiatrist (Foot & Ankle Surgery)
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 749-0121
MCCREADY FOUNDATION, INC
Internal Medicine
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
LORI H GOLDSBOROUGH OTR
Occupational Therapist
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
JASON LEONDAS BRUMFIELD COTA/L
Occupational Therapy Assistant
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1801
MCCREADY FOUNDATION, INC
Medicare Defined Swing Bed Unit
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Psychiatric Unit
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
DR. KEVIN CHRISTOPHER KEARNEY MD
Obstetrics & Gynecology
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1801
MCCREADY FOUNDATION, INC
Radiology (Diagnostic Radiology)
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
TIDALHEALTH PENINSULA REGIONAL, INC.
Clinic/Center (Adult Mental Health)
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Skilled Nursing Facility
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
EMERGENCY SERVICE ASSOCIATES PA
Emergency Medicine
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200
MCCREADY FOUNDATION, INC
Physical Therapist
201 HALL HWY
CRISFIELD, MD 21817
Somerset County (410) 968-1200

Frequently Asked Questions

What is TIDALHEALTH PRIMARY CARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1720807092, enumerated as an "organization" on October 04, 2024.

Where is the provider located?

The provider is located at 201 HALL HWY CRISFIELD, MD 21817 and the phone number is (410) 968-1801.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.