Tidalhealth Specialty Care is a Otolaryngology Physician (organization) practicing in Millsboro, Delaware. The National Provider Identifier (NPI) is #1871338574, which was assigned on June 26, 2024, and the registration record was last updated on July 22, 2025. The practitioner's main practice location is at 30265 Commerce Dr Unit 102, Millsboro, DE 19966-3594; the contact telephone number is 3022972453, and the fax number is 3022972454. The primary taxonomy of Tidalhealth Specialty Care is Otolaryngology Physician (207Y00000X). The authorized official for Tidalhealth Specialty Care is William Pelot (Chief Administrative Officer).
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
| NPI | 1871338574 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH SPECIALTY CARE |
| Provider Name | TIDALHEALTH SPECIALTY CARE |
| Practice Address |
30265 Commerce Dr Unit 102 Millsboro DE 19966-3594 |
| Practice Telephone | 3022972453 |
| Practice Fax Number | 3022972454 |
| Mailing Address |
Po Box 825461 Philadelphia PA 19182-5461 |
| Mailing Telephone | 4105436400 |
| Certification Date | 2025-07-22 |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-07-22 |
| Is Organization Subpart | N |
| Official Name | WILLIAM PELOT |
| Official Title | CHIEF ADMINISTRATIVE OFFICER |
| Telephone | 4105437497 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 193400000X SINGLE SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| TidalHealth ENT Millsboro | Other Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care | 100 E Carroll St, Salisbury, MD 21801-5422 | Pediatrics Physician | 2024-06-26 |
| Tidalhealth Specialty Care | 100 E Carroll St, Salisbury, MD 21801-5422 | Neonatal-Perinatal Medicine Physician | 2024-06-26 |
| Tidalhealth Specialty Care | 145 E Carroll St, Salisbury, MD 21801-5454 | Surgery Physician | 2021-11-08 |
| Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| Classification | Otolaryngology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Centers for Advanced Ent Care, LLC | 15204 Omega Dr Ste 310, Rockville, MD 20850-4816 | Otolaryngology Physician | 2025-10-16 |
| Premier Ambulatory Surgery Center, LLC | 3333 N Main St, Hope Mills, NC 28348-1897 | Otolaryngology Physician | 2025-11-10 |
| Surgone, PC | 7851 S Elati St Ste 102, Littleton, CO 80120-8081 | Otolaryngology Physician | 2025-10-24 |
| Astoria Ny Medical PC | 2519 30th Dr Ste 1l, Astoria, NY 11102-2701 | Otolaryngology Physician | 2026-01-14 |
| Centers for Advanced Ent Care, LLC | 12850 Middlebrook Rd Ste 410, Germantown, MD 20874-5281 | Otolaryngology Physician | 2025-10-29 |
| Breathe Free of Ohio LLC | 570 White Pond Dr Ste 100, Akron, OH 44320-4206 | Otolaryngology Physician | 2026-01-15 |
| Centers for Advanced Ent Care, LLC | 10801 Lockwood Dr Ste 360, Silver Spring, MD 20901-1563 | Otolaryngology Physician | 2025-10-16 |
| Centers for Advanced Ent Care, LLC | 5454 Wisconsin Ave Ste 1535, Chevy Chase, MD 20815-6922 | Otolaryngology Physician | 2025-10-16 |
| Baxter Regional Enterprises, LLC | 626 Burnett Dr Ste 1, Mountain Home, AR 72653-2941 | Otolaryngology Physician | 2025-11-24 |
| Centers for Advanced Ent Care, LLC | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 | Otolaryngology Physician | 2025-10-16 |
| Find all providers with the same taxonomy | |||
| Street Address |
30265 COMMERCE DR UNIT 102 |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966-3594 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 103, Millsboro, DE 19966-3594 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2025-08-27 |
| Michal Klek | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Student in an Organized Health Care Education/Training Program | 2017-04-02 |
| Amanda Marie Moore | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Physician Assistant | 2010-04-08 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 103, Millsboro, DE 19966-3594 | Family Medicine Physician | 2009-04-01 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 105, Millsboro, DE 19966-3594 | Cardiovascular Disease Physician | 2025-11-18 |
| Melissa Wiley | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Family Nurse Practitioner | 2022-03-01 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| National Mentor Healthcare, LLC | 28417 Dupont Highway, Millsboro, DE 19966-1209 | Rehabilitation Psychologist | 2012-02-23 |
| Helen Boakye | 315 Old Landing Rd, Millsboro, DE 19966-1210 | Licensed Practical Nurse | 2025-12-17 |
| Noshaba N Carey · Noshaba N Gulab | 34215 Graham Cir, Millsboro, DE 19966-3194 | Psychiatric/Mental Health Nurse Practitioner | 2015-01-15 |
| Jesse Tallyen | 24077 Country Living Rd Ste 2, Millsboro, DE 19966-3188 | Addiction (Substance Use Disorder) Counselor | 2025-12-08 |
| Delaware Pain Management LLC | 28253 Dupont Blvd Unit 1, Millsboro, DE 19966-1223 | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2025-11-06 |
| Christine A Weber | 395 Old Landing Rd Ste 102, Millsboro, DE 19966-1286 | Physical Therapist | 2013-11-12 |
| Gabriella Manall | 24359 Cassville Ln, Millsboro, DE 19966-3177 | Social Worker | 2025-10-23 |
| Pranav Tiyyala | 32060 Long Neck Road, Millsboro, DE 19966 | Student in an Organized Health Care Education/Training Program | 2025-04-18 |
| Tiffany Marie Hollis | 24077 Country Living Rd Ste 2, Millsboro, DE 19966-3188 | Professional Counselor | 2022-05-08 |
| Robyn L Atkins | 336 Old Landing Rd, Millsboro, DE 19966-1207 | Mental Health Counselor | 2025-05-26 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 11107 Cathage Rd Unit 103, Berlin, MD 21811-2155 | Obstetrics & Gynecology Physician | 2025-09-04 |
| Tidalhealth Specialty Care, LLC | 10614 Racetrack Rd Unit 5, Berlin, MD 21811-3383 | Pulmonary Disease Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 9707 Healthway Dr, Berlin, MD 21811-3500 | Hematology & Oncology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 11107 Cathage Rd Unit 201, Berlin, MD 21811-2156 | Endocrinology, Diabetes & Metabolism Physician | 2025-01-31 |
| Tidalhealth Specialty Care, LLC | 9733 Healthway Dr, Berlin, MD 21811-1155 | Hematology & Oncology Physician | 2025-01-30 |
| Tidalhealth Specialty Care, LLC | 1664 Woodbrooke Dr Ste A, Salisbury, MD 21804-8501 | Endocrinology, Diabetes & Metabolism Physician | 2025-01-17 |
| Tidalhealth Specialty Care, LLC | 100 E Carroll St, Salisbury, MD 21801-5422 | Adolescent and Children Mental Health Clinic/Center | 2022-01-07 |
| Tidalhealth Specialty Care, LLC | 400 Eastern Shore Dr, Salisbury, MD 21804-5513 | Cardiovascular Disease Physician | 2025-01-30 |
| Tidalhealth Specialty Care, LLC | 10614 Racetrack Rd Unit 5, Berlin, MD 21811-3383 | Endocrinology, Diabetes & Metabolism Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 9733 Healthway Dr, Berlin, MD 21811-1155 | Cardiovascular Disease Physician | 2025-01-30 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |