Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tidalhealth Peninsula Regional, Inc.

Family Medicine Physician in Salisbury, MD · enumerated 2007 · authorized official Stephanie Gary, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184832040

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Tidalhealth Peninsula Regional, Inc.

Practice address 100 E Carroll St, Peninsula Regional Medical Group, Salisbury, MD, 21801

Phone (410) 543-7252

Fax (410) 912-6386

Enumeration date May 21, 2007

Last updated in NPPES Feb 28, 2023

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Stephanie Gary

Title Cfo

Phone (410) 912-6059

Other identifiers

Identifier	Type	State	Issuer
CC4271	Other	MD	MEDICARE RRB
CA8333	Other	MD	MEDICARE RRB
0000241502	Medicaid	DE	-
C10607	Other	VA	MEDICARE PTAN
K230	Other	MD	MEDICARE NSC
K230	Other	MD	MEDICARE PTAN
401428600	Medicaid	MD	-
CA8334	Other	DE	MEDICARE RRB
G01753	Other	DE	MEDICARE NSC
525701800	Medicaid	MD	-
C10607	Other	VA	MEDICARE NSC
CC3716	Other	MD	MEDICARE RRB
G01753	Other	DE	MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Tidalhealth Peninsula Regional, Inc.?

Tidalhealth Peninsula Regional, Inc. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-28.