Organization · Type 2 NPI

Tidalhealth Peninsula Regional, Inc.

Family Medicine Physician · Salisbury, MD

NPI number 1184832040 Active

Practice location

100 E Carroll St, Peninsula Regional Medical Group
Salisbury, MD 21801-5422

Fax (410) 912-6386

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician	207P00000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Gastroenterology Physician	207RG0100X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Neurological Surgery Physician	207T00000X	None listed
Pediatrics Physician	208000000X	None listed
General Practice Physician	208D00000X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1184832040

Tidalhealth Peninsula Regional, Inc.'s National Provider Identifier is 1184832040, issued on May 21, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salisbury, MD. The record was last updated on Feb 28, 2023.