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Organization

TIDALHEALTH SPECIALTY CARE, LLC

Active
Parent organization
TIDALHEALTH, INC.
Other names
TidalHealth Peninsula Orthopaedic Institute
Organization subpart
Yes

Provider details

NPI number
Legal business name
TIDALHEALTH, INC.
Authorized official
JESSICA ONEILL ALLMAN (CHIEF ADMINISTRATIVE OFFICER)
(410) 860-4506
Entity
Organization

Contact information

Practice address
30265 COMMERCE DR UNIT 103, MILLSBORO, DE 19966-3594
(410) 749-4154
(410) 860-9583
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 749-4154
(410) 860-9583

Taxonomy

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

Other

Enumeration date
04/16/2026
Last updated
04/16/2026
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