TIDALHEALTH SPECIALTY CARE, LLC (NPI# 1952926891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952926891 |
| Entity Type | Organization |
| Organization Name | TIDALHEALTH SPECIALTY CARE, LLC |
| Practice Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Mailing Address |
Po Box 2498 Salisbury MD 21802-2498 |
| Practice Telephone | 4105466400 |
| Mailing Telephone | 4105466400 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | KARIN DIBARI (PRESIDENT) |
| Authorized Official Telephone | 6035772799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TIDALHEALTH SPECIALTY CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TidalHealth Pediatric Subspecialty Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320840 | Tidalhealth Specialty Care, LLC | Internal Medicine | 560 Riverside Dr Ste A106, Salisbury, MD 21801-4702 | 2020-06-16 |
| 1245855196 | Tidalhealth Specialty Care, LLC | Internal Medicine | 1415 S Division St Ste A, Salisbury, MD 21804-7291 | 2020-06-16 |
| 1487279337 | Tidalhealth Specialty Care, LLC | Neurological Surgery | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2020-06-16 |
| 1013532969 | Tidalhealth Specialty Care, LLC | Internal Medicine | 560 Riverside Dr Ste A206, Salisbury, MD 21801-4704 | 2020-06-16 |
| 1053936906 | Tidalhealth Specialty Care, LLC | Internal Medicine | 314 Franklin Ave Ste 301, Berlin, MD 21811-1238 | 2020-06-16 |
| 1083239933 | Tidalhealth Specialty Care, LLC | Anesthesiology | 264 Tilghman Rd, Salisbury, MD 21804-1921 | 2020-06-16 |
| 1306461256 | Tidalhealth Specialty Care, LLC | Psychiatry & Neurology | 1630 Woodbrooke Dr, Salisbury, MD 21804-8501 | 2020-06-16 |
| 1962027094 | Tidalhealth Specialty Care, LLC | Clinic/Center | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-15 |
| 1679198642 | Tidalhealth Specialty Care, LLC | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-15 |
| 1124643184 | Tidalhealth Specialty Care, LLC | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-15 |
| Street Address |
100 E CARROLL ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778811 | Heidi Elizabeth Callahan | Physician Assistant | 100 E Carroll St, # 400, Salisbury, MD 21801-5422 | 2005-05-23 |
| 1649870916 | Katelyn Marie Mcwilliams | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1356941637 | Kayla Ann Holliday | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1093315376 | Amanda Strayer | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1366049876 | Fahad Nayim Md LLC | Skilled Nursing Facility | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-07 |
| 1013514157 | Michelle H Grbic | Speech-Language Pathologist | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-01 |
| 1568071462 | Anastasiya Deem | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-07-27 |
| 1336766021 | Myra Ngambo Njapau-dove | Nurse Anesthetist, Certified Registered | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-29 |
| 1588280655 | Ashton Renee Hyde | Nurse Anesthetist, Certified Registered | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-06-24 |
| 1962027094 | Tidalhealth Specialty Care, LLC | Clinic/Center | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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/certification - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841595121 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite C, Salisbury, NC 28144-3255 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532490 | Pediatric Endocrinology of Annapolis | Pediatrics | 2024 West St Ste 304, Annapolis, MD 21401-3556 | 2020-03-05 |
| 1285158840 | Chelsi Lashea Flippo | Pediatrics | 10 Center Drive Msc 1103 Bldg 10crc Rm 2 East -5130, Bethesda, MD 20892 | 2017-07-26 |
| 1881959468 | Christina Tatsi | Pediatrics | 10 Center Drive Building 10, 1e3216, Bethesda, MD 20892-0001 | 2012-07-10 |
| 1861720344 | Barbara Laura Linder | Pediatrics | National Institutes of Health Clinical Ctr, 9000 Rockville Pike, Bethesda, MD 20892-0001 | 2009-11-23 |
| 1275771909 | Jeffrey Baron | Pediatrics | National Insitututes of Health 10 Crc 1 3330, 10 Center Drive Msc 1103, Bethesda, MD 20892-0001 | 2009-02-03 |
| 1922268515 | Sandra Loeb Salsberg | Pediatrics | 200 North Wolfe Street, Rubenstein Bldg #3120, Baltimore, MD 21287-0011 | 2008-06-17 |
| 1306982954 | Scott M Blackman | Pediatrics | 200 N Wolfe St Fl 3, Pediatric Endocrinology, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2007-01-30 |
| 1841225034 | Rachel I Gafni | Pediatrics | National Institutes of Health, 30 Convent Dr. Msc 4320, 30/228, Bethesda, MD 20892-0001 | 2006-07-12 |
| 1609816065 | Debra R Counts | Pediatrics | Sinai Hospital of Baltimore, 2411 W. Belvedere Ave, Suite 205, Baltimore, MD 21215 | 2006-06-07 |
| 1063920197 | Elizabeth A Parker Md LLC | Pediatrics | 49 Old Solomons Island Rd Ste 303, Annapolis, MD 21401-3870 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.