Active NPI
Tidalhealth Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Salisbury, MD
National Provider Identifier
1790167740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TIDALHEALTH SURGERY CENTER, LLC
- Practice address
- 804 Snow Hill Rd
Salisbury, MD 21804-1938 - Phone
- (410) 543-7171
- NPI assigned
- Jun 26, 2015
- Last updated
- Feb 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Ishmael Ritchie
- Title
- Cfo
- Phone
- (410) 543-7298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
804 Snow Hill Rd
Salisbury, MD 21804-1938
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160111002409 | MD | Part B Supplier - Ambulatory Surgical Center | 6002118882 | Practice locations: Salisbury, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Peninsula Womens Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706832000000",
"number": "1790167740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SNOW HILL RD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041938",
"telephone_number": "410-543-7171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDALHEALTH SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-26",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A",
"authorized_official_last_name": "RITCHIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ISHMAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "410-543-7298"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
- Tidalhealth Specialty Care, LLC
- Tidalhealth Specialty Care, LLC
- Tidalhealth Specialty Care, LLC
- Tidalhealth Specialty Care, LLC
- Tidalhealth Specialty Care, LLC
- John Michael Tilghman, D.D.S.,M.S.
- Abigail Dawn Tingle, PHD
- Christopher William Tingle, PTA
- Stacey Tipton, FNP
- Muneshwar Devendra Tiwari, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.