Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Gastroenterology Physician · Salisbury, MD

NPI number 1013532969 Active

Practice location

1640 Woodbrooke Dr
Salisbury, MD 21804-8501

Call (410) 912-5640 Map

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Other practice locations

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

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4 other providers at this address

Other gastroenterology physician providers in Salisbury

See all in Salisbury →

NPI record

NPI: 1013532969
Entity type: Organization (Type 2)
Issued: Jun 16, 2020
Last updated: Jul 22, 2025
Status: Active
Subpart: Yes of Tidalhealth Specialty Care, LLC

Other names

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Tidalhealth Gastroenterology · other name
Tidalhealth Gastroenterology · other name

Authorized official

William Pelot
Chief Administrative Officer
(410) 543-7497

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About NPI 1013532969

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1013532969, issued on Jun 16, 2020. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Salisbury, MD. The record was last updated on Jul 22, 2025.