Organization · Type 2 NPI

Tidalhealth Primary Care, LLC

Family Medicine Physician · Salisbury, MD

NPI number 1285524256 Active

Practice location

805 E Church St
Salisbury, MD 21804-4349

Call (410) 543-7717 Map

Mailing address

PO Box 825474
Philadelphia, PA 19182-5474

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	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.

Another provider at this address

Tidalhealth Specialty Care, LLCClinical Social Worker Salisbury, MD NPI 1194671354

Other family medicine physician providers in Salisbury

See all in Salisbury →

NPI record

NPI: 1285524256
Entity type: Organization (Type 2)
Issued: Jul 9, 2025
Last updated: Jul 22, 2025
Status: Active

Other names

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Tidalhealth Community Clinic · other name
Tidalhealth Community Clinic · other name

Authorized official

William Pelot
Chief Administrator 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.

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About NPI 1285524256

Tidalhealth Primary Care, LLC's National Provider Identifier is 1285524256, issued on Jul 9, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salisbury, MD. The record was last updated on Jul 22, 2025.