Tidalhealth Physician Network, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TIDALHEALTH PHYSICIAN NETWORK, INC.

Practice address

1000 Health Services Dr
Seaford, DE 19973

Phone

(302) 297-2506

NPI assigned

Dec 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Pelot

Title

Chief Administrator Officer

Phone

(410) 543-7497

Specialties & licenses 1

Addresses

Tax ID family

Tidalhealth Physician Network Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

• Tidalhealth Nanticoke, Inc

  • Anesthesiology Physician
  • Seaford, DE
  • NPI 1134956394
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1063225365
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Nurse Practitioner
  • Seaford, DE
  • NPI 1114712692
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Delmar, DE
  • NPI 1154134484
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Laurel, DE
  • NPI 1205649514
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Surgery Physician
  • Seaford, DE
  • NPI 1396558623
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Georgetown, DE
  • NPI 1437962768
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1467277863
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Medical Oncology Physician
  • Seaford, DE
  • NPI 1538972849
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Bridgeville, DE
  • NPI 1639982952
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Gastroenterology Physician
  • Seaford, DE
  • NPI 1730992066
  NPD tax ID
• Tidalhealth Physician Network, Inc.

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1801777107
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nichole Holland, CRNP

  • Family Nurse Practitioner
  • Delmar, MD
  • NPI 1588202600
  NPD (past)
• Neil L Julie, M.D.

  • Gastroenterology Physician
  • Rockville, MD
  • NPI 1578661054

  Gastroenterology

  NPD (past)
• Alfred W Lee-Young, M.D.

  • Gastroenterology Physician
  • Westminster, MD
  • NPI 1689732240

  Gastroenterology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1063377679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824327",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH SERVICES DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "19973",
            "telephone_number": "302-297-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "PELOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR OFFICER",
        "authorized_official_telephone_number": "410-543-7497"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrift Drug Inc
• Tidalhealth Nanticoke, Inc
• Tidalhealth Nanticoke, Inc
• Tidalhealth Nanticoke, Inc
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.

• All providers in Seaford, DE
• Gastroenterology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.