NPI 1053936906 · live from the CMS NPI Registry
Tidalhealth Specialty Care, LLC
Internal Medicine, Cardiovascular Disease in Salisbury, MD. National Provider Identifier 1053936906, active.
NPI record
| NPI | 1053936906 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 106 Milford St, Salisbury, MD 21804 |
| Practice phone | 410-334-2227 |
| Mailing address | Po Box 825461, Philadelphia, PA 19182 |
| Enumerated | June 16, 2020 |
| Last updated | July 22, 2025 |
| Authorized official | William Pelot, Chief Administrative Officer |
| Other names | Tidalhealth Cardiology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.