TIDALHEALTH PHYSICIAN NETWORK, INC.
NPI 1396558623
Surgery in Seaford, DE

Active since January 30, 2025
201 HEALTH SERVICES DR, SEAFORD, DE 19973(302) 297-2504 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tidalhealth Physician Network, Inc. NPPES

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

TIDALHEALTH PHYSICIAN NETWORK, INC. (NPI 1396558623) is a healthcare organization registered as a surgery 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

NPI1396558623
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTIDALHEALTH PHYSICIAN NETWORK, INC.
Location Address201 HEALTH SERVICES DRSeaford, DE 19973-5771
Mailing AddressPo Box 824327Philadelphia, PA 19182-4327 · (410) 912-6989
Organization SubpartNo
Authorized OfficialWilliam PelotChief Administrator Officer · (410) 543-7497
Enumeration DateJanuary 30, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1396558623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
201 HEALTH SERVICES DR, Seaford, DE 19973

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 1396558623. 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 201 Health Services Dr, Seaford, DE 19973. The listed phone number is (302) 297-2504.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 13 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.