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

Tidalhealth Specialty Care, LLC

Organization Gastroenterology Physician · NPI 1013532969

Tidalhealth Specialty Care, LLC is a Gastroenterology Physician in Salisbury, Maryland. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
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

1640 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone: (410) 912-5640
Show map & directions

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

Additional practice locations (2)

  • 11103 Cathage Rd, Berlin, MD 21811-2114 — (410) 912-6021
  • 100 E Carroll St, Salisbury, MD 21801-5422 — (410) 912-6053

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1013532969
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTidalhealth Specialty Care, LLC
Authorized official William Pelot — Chief Administrative Officer · (410) 543-7497
Other names Tidalhealth Gastroenterology; Tidalhealth Gastroenterology
NPI enumeratedJune 16, 2020
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

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