Tidalhealth Physician Network, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TIDALHEALTH PHYSICIAN NETWORK, INC.

Practice address

801 Middleford Rd
Seaford, DE 19973-3636

Phone

(302) 629-5217

NPI assigned

Oct 19, 2006

Last updated

Jul 22, 2025By the provider in NPPES

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

Other names 1

• Mid-Sussex Medical Center Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Enrollment records 2

Locations (25 of 29)

Practitioners 210

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samir Elamin Ahmed

  • Endocrinology, Diabetes & Metabolism Physician
  • Seaford, DE
  • NPI 1598317687
  Medicare reassignment Care Compare group NPD
• Raheel Awan, MD

  • Family Medicine Physician
  • Bridgeville, DE
  • NPI 1952988719

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ghazaleh Barghgir, MD

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1124760665
  Medicare reassignment Care Compare group NPD
• Linda Anne Barriocanal, A.R.N.P.

  • Family Nurse Practitioner
  • Seaford, DE
  • NPI 1891870267

  MD

  Medicare reassignment Care Compare group NPD
• Ian Michael Baxter, D.O.

  • Obstetrics & Gynecology Physician
  • Seaford, DE
  • NPI 1902890148
  Medicare reassignment Care Compare group NPD
• Jessica W Baxter, FNP

  • Family Nurse Practitioner
  • Georgetown, DE
  • NPI 1215372479
  Medicare reassignment Care Compare group NPD
• Elizabeth Kornfield Chadwell, MD

  • Urology Physician
  • Seaford, DE
  • NPI 1245235365

  Family Medicine

  Medicare reassignment Care Compare group NPD
• David Cohen, M.D.

  • Urology Physician
  • Seaford, DE
  • NPI 1922191568
  Medicare reassignment Care Compare group NPD
• Ronald Concha Parra, MD

  • Gastroenterology Physician
  • Seaford, DE
  • NPI 1275737652
  Medicare reassignment Care Compare group NPD
• Andrew Curley, M.D.

  • Orthopaedic Surgery Physician
  • Seaford, DE
  • NPI 1447614417
  Medicare reassignment Care Compare group NPD
• Henry Degroot III, M.D.

  • Orthopaedic Surgery Physician
  • Milford, DE
  • NPI 1710958723
  Medicare reassignment Care Compare group NPD
• Mary Dickerson, CRNP

  • Family Nurse Practitioner
  • Frankford, DE
  • NPI 1689005225
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1467534636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733636",
            "telephone_number": "302-629-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733636",
            "telephone_number": "302-629-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Sussex Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mid-Sussex Medical Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 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.
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc. (Nanticoke Immediate Care)
• Tidalhealth Physician Network, Inc.

• Family Medicine Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.