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

Q: What is Tidalhealth Primary Care, LLC's NPI number?

The NPI number for Tidalhealth Primary Care, LLC is 1720807092. It was assigned to this organization in the NPPES registry on October 4, 2024. The provider is also known as TidalHealth Primary Care.

Q: What is Tidalhealth Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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: August 16, 2026.

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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 NPPES 20

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

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

Counselor (Addiction (Substance Use Disorder))