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

Tidalhealth Specialty Care, LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1407748478

Tidalhealth Specialty Care, LLC provides Geriatric Medicine (Internal Medicine) Physician services in Salisbury, Maryland. Registered with an NPI since 2025.

In the registry since
2025
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

560 Riverside Dr Ste B204
Salisbury, MD 21801-4703
Phone: (410) 912-6793
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1407748478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrative Officer · (410) 543-7497
Other names Tidalhealth Geriatrics; Tidalhealth Geriatrics
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 825461, Philadelphia, PA 19182-5461

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