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TIDALHEALTH SPECIALTY CARE, LLC
NPI 1962373811
Obstetrics & Gynecology in Salisbury, MD

Active since September 15, 2025CLIA 21D2325365 · Microscopy
145 E CARROLL ST STE 101-102, SALISBURY, MD 21801(410) 543-7268(410) 543-7269 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1962373811) is a healthcare organization registered as an obstetrics & gynecology in Salisbury, Maryland and active in the NPI registry since September 2025. The organization holds a CLIA Microscopy certificate valid through June 10, 2027 and lists William Pelot, Chief Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1962373811
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTIDALHEALTH SPECIALTY CARE, LLC
Location Address145 E CARROLL ST STE 101-102Salisbury, MD 21801-5454
Mailing AddressPo Box 825461Philadelphia, PA 19182-5461
Phone(410) 543-7268
Fax(410) 543-7269
Organization SubpartNo
Authorized OfficialWilliam PelotChief Adminstrator · (410) 543-7497
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1962373811 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.

145 E CARROLL ST STE 101-102, Salisbury, MD 21801
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2325365

Tidalhealth Ob/Gyn Salisbury · Salisbury, MD
Active · expires Jun 10, 2027
CLIA Number21D2325365
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorDr. Caitlin Robinson
Laboratory Phone(410) 543-7268
Laboratory LocationTidalhealth Ob/Gyn Salisbury145 E Carroll St #101-102, Salisbury, MD 21801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

STEPHEN LEE MEARS NP
Nurse Practitioner (Family)
145 E CARROLL ST STE 101-102
SALISBURY, MD 21801
Wicomico County (410) 912-5785
SHIVAM SINGLA MD
Internal Medicine
145 E CARROLL ST STE 101-102
SALISBURY, MD 21801
Wicomico County (410) 543-7717
TIDALHEALTH PRIMARY CARE, LLC
Family Medicine
145 E CARROLL ST STE 101-102
SALISBURY, MD 21801
Wicomico County (410) 543-7717

Frequently Asked Questions

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

The NPI number assigned to this healthcare provider is 1962373811, enumerated as an "organization" on September 15, 2025.

Where is the provider located?

The provider is located at 145 E CARROLL ST STE 101-102 SALISBURY, MD 21801 and the phone number is (410) 543-7268.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.