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

Tidalhealth Primary Care, LLC

Organization Family Medicine Physician · NPI 1144049412

Tidalhealth Primary Care, LLC is a Family Medicine Physician in Salisbury, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1639 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone: (410) 912-5785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1144049412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
Other names Tidalhealth Primary Care; Tidalhealth Primary Care
NPI enumeratedOctober 4, 2024
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825474, Philadelphia, PA 19182-5474

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