Organization · Type 2 NPI

Tidalhealth Specialty Care, LLC

Endocrinology, Diabetes & Metabolism Physician · Salisbury, MD

NPI number 1245855196 Active

Practice location

1639 Woodbrooke Dr
Salisbury, MD 21804-8502

Call (410) 912-7234 Map

Fax (410) 572-6890

Mailing address

PO Box 825461
Philadelphia, PA 19182-5461

Other practice locations

11107 Cathage Road, Suite 201, Berlin, MD 21811-2156 · (410) 629-0888
100 E Carroll St, Salisbury, MD 21801-5422 · (410) 912-6400

Specialties and licenses

Taxonomy	Code	License
Endocrinology, Diabetes & Metabolism Physician Primary	207RE0101X	None listed

Endocrinology, Diabetes & Metabolism Physician: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

8 other providers at this address

Other endocrinology, diabetes & metabolism physician providers in Salisbury

See all in Salisbury →

NPI record

NPI: 1245855196
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

<unavail>
Tidalhealth Endocrinology · other name
Tidalhealth Endocrinology · other name

Authorized official

William Pelot
Chief Administrative Officer
(410) 543-7497

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1245855196

Tidalhealth Specialty Care, LLC's National Provider Identifier is 1245855196, issued on Jun 16, 2020. The primary taxonomy on file is Endocrinology, Diabetes & Metabolism Physician (207RE0101X), and the practice location is in Salisbury, MD. The record was last updated on Jul 22, 2025.