Elisa Rivera
Elisa Rivera is a Physician Assistant in Salisbury, Maryland. Qualified in 2024, 2 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1630 Woodbrooke DrSalisbury, MD 21804-8501
Phone: (410) 912-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1619768918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 15, 2025 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Tidalhealth Specialty Care Llc — 366 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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