# TIDALHEALTH SPECIALTY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TidalHealth Peninsula Orthopaedic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285582999
- **Authorized official:** JESSICA ONEILL ALLMAN (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (410) 860-4506

## Contact information

- **Practice address:** 329 MULLET RUN, MILFORD, DE 19963-5373
- **Practice address phone:** (410) 749-4154
- **Practice address fax:** (410) 860-9583
- **Mailing address:** 1675 WOODBROOKE DR, SALISBURY, MD 21804-8502
- **Mailing address phone:** (410) 749-4154
- **Mailing address fax:** (410) 860-9583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/18/2026
- **Last updated:** 03/20/2026