Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tidalhealth Peninsula Regional, Inc

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1336968619

Tidalhealth Peninsula Regional, Inc provides Hospice and Palliative Medicine (Internal Medicine) Physician services in Salisbury, Maryland. Registered with an NPI since 2024.

In the registry since
2024
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
Salisbury, MD 21801-5422
Phone: (410) 543-4716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X

Record details

NPI number1336968619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Gary — Vice President Finance · (410) 546-6400
Other names Tidalhealth Palliative Care Inpatient
NPI enumeratedOctober 4, 2024
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing addressPo Box 826880, Philadelphia, PA 19182-6880

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