TIDALHEALTH SPECIALTY CARE, LLC – NPI #1245855196
Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
TIDALHEALTH SPECIALTY CARE, LLC is a provider located in SALISBURY, MD. NPPES has assigned the NPI number 1245855196 to TIDALHEALTH SPECIALTY CARE, LLC on June 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism
The NPI profile was last updated on Jul 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIDALHEALTH SPECIALTY CARE, LLC below.
NPI Profile for
TIDALHEALTH SPECIALTY CARE, LLC
(about 6 years ago)
SALISBURY, MD 21804-8502 Phone: (410) 912-7234 Fax: (410) 572-6890
2 Other location(s):
Suite 201
Berlin, MD 21811-2156
Phone: (410) 629-0888
Salisbury, MD 21801-5422
Phone: (410) 912-6400
PHILADELPHIA, PA 19182-5461 Phone: Fax:
CHIEF ADMINISTRATIVE OFFICER
Phone: (410) 543-7497
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RE0101X - Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.