TIDALHEALTH PHYSICIAN NETWORK, INC.
NPI 1063225365
Family Medicine in Seaford, DE

Q: What is Tidalhealth Physician Network, Inc.'s NPI number?

The NPI number for Tidalhealth Physician Network, Inc. is 1063225365. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is also known as TidalHealth Physician Network.

Q: What is Tidalhealth Physician Network, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 30, 2025

100 RAWLINS DR # A, SEAFORD, DE 19973(302) 990-3300 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tidalhealth Physician Network, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH PHYSICIAN NETWORK, INC. (NPI 1063225365) is a healthcare organization registered as a family medicine in Seaford, Delaware and active in the NPI registry since January 2025. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1063225365

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTIDALHEALTH PHYSICIAN NETWORK, INC.

Location Address100 RAWLINS DR # ASeaford, DE 19973-5881

Mailing AddressPo Box 824327Philadelphia, PA 19182-4327 · (410) 912-6989

Phone(302) 990-3300

Organization SubpartNo

Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497

Enumeration DateJanuary 30, 2025

Last NPPES UpdateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1063225365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

100 RAWLINS DR # A, Seaford, DE 19973

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Other Names 1

Other NameTidalhealth Physician Network

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidalhealth Physician Network, Inc.'s NPI number?

The NPI number for Tidalhealth Physician Network, Inc. is 1063225365. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is also known as TidalHealth Physician Network.

Where is Tidalhealth Physician Network, Inc. located?

Tidalhealth Physician Network, Inc. is located at 100 Rawlins Dr # A, Seaford, DE 19973. The listed phone number is (302) 990-3300.

What is Tidalhealth Physician Network, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Physician Network, Inc. was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.