TIDALHEALTH PHYSICIAN NETWORK, INC.
NPI 1063377679
Internal Medicine - Gastroenterology in Seaford, DE

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

The NPI number for Tidalhealth Physician Network, Inc. is 1063377679. It was assigned to this organization in the NPPES registry on December 17, 2025.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since December 17, 2025

1000 HEALTH SERVICES DR, SEAFORD, DE 19973(302) 297-2506 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 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 1063377679) is a healthcare organization registered as a gastroenterology in Seaford, Delaware and active in the NPI registry since December 2025. The organization lists William Pelot, Chief Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1063377679

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameTIDALHEALTH PHYSICIAN NETWORK, INC.

Location Address1000 HEALTH SERVICES DRSeaford, DE 19973

Mailing AddressPo Box 824327Philadelphia, PA 19182-4327

Phone(302) 297-2506

Organization SubpartNo

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

Enumeration DateDecember 17, 2025

NPPES CertifiedDecember 16, 2025

✔ NPI 1063377679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1000 HEALTH SERVICES DR, Seaford, DE 19973

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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 1063377679. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Tidalhealth Physician Network, Inc. located?

Tidalhealth Physician Network, Inc. is located at 1000 Health Services Dr, Seaford, DE 19973. The listed phone number is (302) 297-2506.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Physician Network, Inc. was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.