Tidalhealth Physician Network, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HSPTL-008 Issued in DE

Legal business name

TIDALHEALTH PHYSICIAN NETWORK, INC.

Doing business as

Nanticoke Immediate Care

Practice address

100 Rawlins Dr
Seaford, DE 19973-5881

Phone

(302) 536-5415

NPI assigned

Mar 19, 2014

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

Mrs. William Pelot

Title

Chief Administrator Officer

Phone

(410) 543-7497

Specialties & licenses 1

Addresses

Other names 1

• Nanticoke Immediate Care Doing business as

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.

  • Gastroenterology Physician
  • Seaford, DE
  • NPI 1063377679
  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

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1912324658",
    "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": "302-629-5217",
            "fax_number": "302-629-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RAWLINS DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735881",
            "telephone_number": "302-536-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "HSPTL-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nanticoke Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nanticoke Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Specialty Care, LLC (TidalHealth Peninsula Orthopaedic Institute)
• Tidalhealth Specialty Care, LLC
• Tidalhealth Specialty Care, LLC (TidalHealth Peninsula Orthopaedic Institute)
• Tidalhealth Specialty Care, LLC (TidalHealth Peninsula Orthopaedic Institute)

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.