Tidalhealth Specialty Care, LLC is a Cardiovascular Disease Physician (organization) practicing in Millsboro, Delaware. The National Provider Identifier (NPI) is #1881555159, which was assigned on November 18, 2025, and the registration record was last updated on November 18, 2025. The practitioner's main practice location is at 30265 Commerce Dr Unit 105, Millsboro, DE 19966-3594; the contact telephone number is 3022972571, and the fax number is 3022972572. The primary taxonomy of Tidalhealth Specialty Care, LLC is Cardiovascular Disease Physician (207RC0000X), with specialization in Cardiovascular Disease. The authorized official for Tidalhealth Specialty Care, LLC is William Pelot (Chief Administrator Officer).
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
| NPI | 1881555159 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH SPECIALTY CARE, LLC |
| Provider Name | TIDALHEALTH SPECIALTY CARE, LLC |
| Practice Address |
30265 Commerce Dr Unit 105 Millsboro DE 19966-3594 |
| Practice Telephone | 3022972571 |
| Practice Fax Number | 3022972572 |
| Mailing Address |
Po Box 825461 Philadelphia PA 19182-5461 |
| Certification Date | 2025-11-18 |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |
| Is Organization Subpart | N |
| Official Name | WILLIAM PELOT |
| Official Title | CHIEF ADMINISTRATOR OFFICER |
| Telephone | 4105437497 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207RC0000X | Internal Medicine | Cardiovascular Disease | 193200000X MULTI-SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 329 Mullet Run, Milford, DE 19963-5373 | Durable Medical Equipment & Medical Supplies | 2026-03-18 |
| Tidalhealth Specialty Care, LLC | 10231 Old Ocean City Blvd Ste 205, Berlin, MD 21811-3568 | Gastroenterology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 100 Rawlins Dr, Seaford, DE 19973-5881 | Durable Medical Equipment & Medical Supplies | 2026-03-18 |
| Tidalhealth Specialty Care, LLC | 10614 Racetrack Rd Unit 2, Berlin, MD 21811-3383 | Diagnostic Radiology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Durable Medical Equipment & Medical Supplies | 2026-03-18 |
| Tidalhealth Specialty Care, LLC | 9707 Healthway Dr, Berlin, MD 21811-3500 | Hematology & Oncology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | Orthopaedic Hand Surgery Physician | 2026-03-18 |
| Tidalhealth Specialty Care, LLC | 10231 Old Ocean City Blvd Ste 207, Berlin, MD 21811-3568 | Obesity Medicine (Internal Medicine) Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 9714 Healthway Dr, Berlin, MD 21811-1154 | Neurology Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 305 10th St Ste 101, Pocomoke City, MD 21851-1607 | Neurology Physician | 2026-03-24 |
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| Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Young Kim Md Inc | 2400 Samaritan Dr Ste 100, San Jose, CA 95124-3910 | Cardiovascular Disease Physician | 2026-03-25 |
| Adventist Physician Service, Inc | 299 Hurley Ave, Rockville, MD 20850-3118 | Cardiovascular Disease Physician | 2026-03-20 |
| Lakeland Regional Health Systems, Inc. | 1409 N Florida Ave, Lakeland, FL 33805-3659 | Cardiovascular Disease Physician | 2026-03-25 |
| Cardiology Specialists of North Texas, PLLC | 1102 N Galloway Ave, Mesquite, TX 75149-2436 | Cardiovascular Disease Physician | 2026-04-03 |
| Lifebridge Community Physicians Inc | 1838 Greene Tree Rd Ste 300, Pikesville, MD 21208-7109 | Cardiovascular Disease Physician | 2026-04-08 |
| Amal Heart PC | 23 Corporate Plaza Dr, Newport Beach, CA 92660-7911 | Cardiovascular Disease Physician | 2026-04-02 |
| Eh Medical Group LLC | 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773 | Cardiovascular Disease Physician | 2026-03-25 |
| Ozarks Medical Center | 1333 S Sam Houston Blvd, Houston, MO 65483-2046 | Cardiovascular Disease Physician | 2026-04-03 |
| M Management Group LLC | 4409 E West Hwy, Riverdale, MD 20737-1058 | Cardiovascular Disease Physician | 2026-03-17 |
| Imperial Valley Healthcare District | 207 W Legion Rd, Brawley, CA 92227-7780 | Cardiovascular Disease Physician | 2026-04-02 |
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| Street Address |
30265 COMMERCE DR UNIT 105 |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966-3594 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| 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 |
| Melissa Wiley | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Family Nurse Practitioner | 2022-03-01 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Durable Medical Equipment & Medical Supplies | 2026-03-18 |
| Michal Klek | 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | Student in an Organized Health Care Education/Training Program | 2017-04-02 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 103, Millsboro, DE 19966-3594 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2025-08-27 |
| Tidalhealth Specialty Care | 30265 Commerce Dr Unit 102, Millsboro, DE 19966-3594 | Otolaryngology Physician | 2024-06-26 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Terriann Rosa | 315 Old Landing Rd, Millsboro, DE 19966-1210 | Licensed Practical Nurse | 2025-09-12 |
| Gabriella Manall | 24359 Cassville Ln, Millsboro, DE 19966-3177 | Social Worker | 2025-10-23 |
| Jessica L Baker | 395 Old Landing Rd Ste 102, Millsboro, DE 19966-1249 | Physical Therapist | 2013-11-05 |
| Rehabilitation Consultants, Inc. | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | Rehabilitation Clinic/Center | 2018-01-18 |
| Helen Boakye | 315 Old Landing Rd, Millsboro, DE 19966-1210 | Licensed Practical Nurse | 2025-12-17 |
| Kristen Loose | 395 Old Landing Rd Ste 102, Millsboro, DE 19966-1249 | Occupational Therapist | 2006-06-11 |
| Pranav Tiyyala | 32060 Long Neck Road, Millsboro, DE 19966 | Student in an Organized Health Care Education/Training Program | 2025-04-18 |
| Coras Wellness and Behavioral Health, LLC | 315 Old Landing Rd, Millsboro, DE 19966-1210 | Health Service Psychologist | 2021-06-15 |
| Delaware Pain Management LLC | 28253 Dupont Blvd Unit 1, Millsboro, DE 19966-1223 | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2025-11-06 |
| Susan L Taylor | 29787 John J Williams Highway, Unit #8, Millsboro, DE 19966-1663 | Adult Health Nurse Practitioner | 2008-05-01 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Primary Care, LLC | 30265 Commerce Dr Unit 206, Millsboro, DE 19966-3595 | Family Medicine Physician | 2024-10-04 |
| Tidalhealth Primary Care, LLC | 10614 Racetrack Rd Unit 1, Berlin, MD 21811-3383 | Pediatrics Physician | 2025-11-26 |
| Tidalhealth Specialty Care | 30265 Commerce Dr Unit 102, Millsboro, DE 19966-3594 | Otolaryngology Physician | 2024-06-26 |
| Tidalhealth Primary Care, LLC | 15 N Williams St, Selbyville, DE 19975-7514 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Specialty Care | 100 E Carroll St, Salisbury, MD 21801-5422 | Neonatal-Perinatal Medicine Physician | 2024-06-26 |
| Tidalhealth Primary Care, LLC | 1001 Philadelphia Ave Ste B, Ocean City, MD 21842-3735 | Family Medicine Physician | 2025-11-26 |
| Tidalhealth Primary Care, LLC | 145 E Carroll St Ste 101-102, Salisbury, MD 21801-5454 | Family Medicine Physician | 2024-10-08 |
| Tidalhealth Primary Care, LLC | 100 E Carroll St, Salisbury, MD 21801-5422 | Community Health Clinic/Center | 2020-03-26 |
| Tidalhealth Primary Care, LLC | 37464 Lion Drive, Ste 2, Selbyville, DE 19975 | Family Medicine Physician | 2025-12-05 |
| Tidalhealth Primary Care, LLC | 10324 Old Ocean City Blvd, Berlin, MD 21811-1132 | Family Medicine Physician | 2025-11-26 |
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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. |