Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Peninsula Regional, Inc

Organization Emergency Medicine Physician · NPI 1184832040

Tidalhealth Peninsula Regional, Inc is an Emergency Medicine Physician in Salisbury, Maryland. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Carroll St Peninsula Regional Medical Group
Salisbury, MD 21801-5422
Phone: (410) 543-7252
Fax: (410) 912-6386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology & Oncology Physician Taxonomy 207RH0003X
Pulmonary Disease Physician Taxonomy 207RP1001X
Neurological Surgery Physician Taxonomy 207T00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1184832040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gary — Cfo · (410) 912-6059
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address100 E Carroll St, Peninsula Regional Medical Group, Salisbury, MD 21801-5422

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