Tidalhealth Physician Network, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TIDALHEALTH PHYSICIAN NETWORK, INC.

Practice address

801 Middleford Rd
Seaford, DE 19973-3636

Phone

(302) 629-6611

NPI assigned

Nov 26, 2025

Last updated

Nov 26, 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 Admin 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.

  • 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

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1972465094",
    "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": "801 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733636",
            "telephone_number": "302-629-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "PELOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF ADMIN OFFICER",
        "authorized_official_telephone_number": "410-543-7497"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Diagnostic Radiology Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Diagnostic Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.