OrganizationActive
Tidalhealth Specialty Care, LLC
NPI 1417760604 · Surgery Physician · Salisbury, MD
Tidalhealth Specialty Care, LLC is a Surgery Physician organization in Salisbury, MD (NPI 1417760604).
Provider details
- NPI number
- 1417760604
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Pelot, Chief Administrative Officer(410) 543-7497
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 S Salisbury Blvd Ste D
Salisbury, MD 21801-6266
Phone: (410) 543-6400
Street-level locationGet directions
Mailing address
Po Box 825461
Philadelphia, PA 19182-5461
Other names (DBA / former)
- Other name
- Tidalhealth General Surgery
- Other name
- Tidalhealth General Surgery
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Frequently asked questions
- What is Tidalhealth Specialty Care, LLC's NPI number?
- Tidalhealth Specialty Care, LLC's National Provider Identifier (NPI) is 1417760604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidalhealth Specialty Care, LLC?
- Tidalhealth Specialty Care, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tidalhealth Specialty Care, LLC located?
- Tidalhealth Specialty Care, LLC's practice location on file with NPPES is 800 S Salisbury Blvd Ste D, Salisbury, MD 21801-6266.
- What is Tidalhealth Specialty Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidalhealth Specialty Care, LLC is (410) 543-6400.
- Who is the authorized official for Tidalhealth Specialty Care, LLC?
- The authorized official listed on Tidalhealth Specialty Care, LLC's NPPES record is William Pelot, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidalhealth Specialty Care, LLC's NPI active?
- Yes — Tidalhealth Specialty Care, LLC's NPI (1417760604) is active in the NPPES registry as of the last update on 2025-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.