Tidalhealth Specialty Care is a Pediatrics Physician (organization) practicing in Salisbury, Maryland. The National Provider Identifier (NPI) is #1922843622, 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 100 E Carroll St, Salisbury, MD 21801-5422; the contact telephone number is 4109122815, and the fax number is 4105437741. The primary taxonomy of Tidalhealth Specialty Care is Pediatrics Physician (208000000X). The authorized official for Tidalhealth Specialty Care is William Pelot (Chief Administrative Officer).
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
| NPI | 1922843622 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH SPECIALTY CARE |
| Provider Name | TIDALHEALTH SPECIALTY CARE |
| Practice Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 4109122815 |
| Practice Fax Number | 4105437741 |
| Mailing Address |
Po Box 825461 Philadelphia PA 19182-5422 |
| 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 | 208000000X | Pediatrics | 193400000X SINGLE SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| TidalHealth Pediatric Hospitalist | Other Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care | 30265 Commerce Dr Unit 102, Millsboro, DE 19966-3594 | Otolaryngology Physician | 2024-06-26 |
| Tidalhealth Specialty Care | 145 E Carroll St, Salisbury, MD 21801-5454 | Surgery Physician | 2021-11-08 |
| Tidalhealth Specialty Care | 100 E Carroll St, Salisbury, MD 21801-5422 | Neonatal-Perinatal Medicine Physician | 2024-06-26 |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kayla Elizabeth Grooters | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | Pediatrics Physician | 2026-04-08 |
| Children's Dentistry of Lithonia LLC | 7215 Stonecrest Pkwy, Lithonia, GA 30038-2563 | Pediatrics Physician | 2026-03-26 |
| Randolph Forbes Wykoff · Randy Wykoff | 206 Lake Meadow Dr, Johnson City, TN 37615-4015 | Pediatrics Physician | 2026-03-28 |
| Everkind Pediatrics | 31717 Tradewinds Dr, Avon Lake, OH 44012-2915 | Pediatrics Physician | 2026-04-03 |
| Health Services, Inc. | 4425 Brewbaker Driive, Rm 1, Montgomery, AL 36116 | Pediatrics Physician | 2026-03-31 |
| Ireland Buckley Banner | 2829 Babcock Rd, San Antonio, TX 78229-6028 | Pediatrics Physician | 2026-03-31 |
| James M Landers Md Plc | 20825 Mack Ave, Grosse Pointe Woods, MI 48236-1485 | Pediatrics Physician | 2026-04-06 |
| Anari Medical Corp | 107 N Maclay Ave, San Fernando, CA 91340-2906 | Pediatrics Physician | 2026-03-27 |
| Twilight Pediatric Medicine | 440 Asbury Rd, Freeville, NY 13068-9740 | Pediatrics Physician | 2026-03-31 |
| Sania Wilkins Do,Pc | 64 Jamaica Ave, Plainview, NY 11803-3633 | Pediatrics Physician | 2026-03-31 |
| Find all providers with the same taxonomy | |||
| Street Address |
100 E CARROLL ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5422 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Savannah Finley | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-03-30 |
| Lia Marie Dopp | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-03-31 |
| Ekta Sura | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-04-10 |
| Cole Lane Faulkner | 100 E Carroll St, Salisbury, MD 21801 | Student in an Organized Health Care Education/Training Program | 2026-04-03 |
| Yeabsira Dessalegne Mesfin | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-04-02 |
| Xuan Ci Mee | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-04-02 |
| Medstar Medical Group II LLC | 100 E Carroll St, Salisbury, MD 21801-5422 | General Practice Physician | 2026-04-09 |
| Shannon Margurite Hayes | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-03-31 |
| Tsnate Eskinder Taye | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-03-30 |
| Peace Ige | 100 E Carroll St, Salisbury, MD 21801-5422 | Student in an Organized Health Care Education/Training Program | 2026-03-28 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mika Angela Cuenca Sareno | 100 East Carroll Street Tidalhealth Peninsula Reginal, Salisbury, MD 21801 | Student in an Organized Health Care Education/Training Program | 2025-04-22 |
| Oc Wellness LLC | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | Psychiatric/Mental Health Nurse Practitioner | 2019-06-28 |
| Amy Patricia Stone · Mia Stone | 1147 S Salisbury Blvd, Suite 8-143, Salisbury, MD 21801 | Behavior Technician | 2026-03-10 |
| Joseph Ekama Areh | 100 E. Carroll St. Tidal Health Peninsula Region, Salisbury, MD 21801 | Student in an Organized Health Care Education/Training Program | 2025-06-25 |
| Kausar Bano | 100e, Carroll Street, Salisbury, MD 21801 | Student in an Organized Health Care Education/Training Program | 2026-03-24 |
| Eva K Anderson · Eva K Woolfolk | 540 Riverside Dr, Ste 2, Salisbury, MA 21801 | Psychologist | 2007-03-08 |
| Iris Harrington Gehring | 2425 N. Salisbury Blvd, Salisbury, MD 21801 | Family Nurse Practitioner | 2019-02-26 |
| Bezawit Endeshaw Zewde | 100 E. Carroll Street, Salisbury, MD 21801 | Student in an Organized Health Care Education/Training Program | 2025-05-13 |
| John A Routenberg | 205 South Division Street, Salisbury, MD 21801 | Gastroenterology Physician | 2006-11-07 |
| Mary Kay Noren | 109 High Street, Salisbury, MD 21801 | Clinical Social Worker | 2007-05-03 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tidalhealth Specialty Care, LLC | 804 Snow Hill Rd, Salisbury, MD 21804-1938 | Surgery Physician | 2025-01-30 |
| Tidalhealth Specialty Care, LLC | 100 E Carroll St # A, Salisbury, MD 21801-5422 | Obstetrics & Gynecology Physician | 2025-05-30 |
| Tidalhealth Specialty Care, LLC | 805 E Church St, Salisbury, MD 21804-4349 | Clinical Social Worker | 2026-03-09 |
| Tidalhealth Specialty Care, LLC | 100 E Carroll St, Salisbury, MD 21801-5422 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2020-06-15 |
| Tidalhealth Specialty Care, LLC | 200 Federal St, Seaford, DE 19973-5764 | Cardiovascular Disease Physician | 2025-01-30 |
| Tidalhealth Specialty Care, LLC | 100 E Carroll St, Salisbury, MD 21801-5422 | Pulmonary Disease Physician | 2020-06-15 |
| Tidalhealth Specialty Care, LLC | 1310 Belmont Ave Ste 302, Salisbury, MD 21804-4506 | Neurological Surgery Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 30265 Commerce Dr Unit 105, Millsboro, DE 19966-3594 | Cardiovascular Disease Physician | 2025-11-18 |
| Tidalhealth Specialty Care, LLC | 10231 Old Ocean City Blvd Ste 207, Berlin, MD 21811-3568 | Surgery Physician | 2025-11-26 |
| Tidalhealth Specialty Care, LLC | 10614 Racetrack Rd Unit 5, Berlin, MD 21811-3383 | Pulmonary Disease 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. |