TIDALHEALTH PHYSICIAN NETWORK, INC. – NPI #1912324658
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

TIDALHEALTH PHYSICIAN NETWORK, INC. is a provider located in SEAFORD, DE. NPPES has assigned the NPI number 1912324658 to TIDALHEALTH PHYSICIAN NETWORK, INC. on March 19, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIDALHEALTH PHYSICIAN NETWORK, INC. below.

NPI Profile for
TIDALHEALTH PHYSICIAN NETWORK, INC.

NPI Number
1912324658
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIDALHEALTH PHYSICIAN NETWORK, INC.
Primary location
100 RAWLINS DR
SEAFORD, DE 19973-5881
Phone: (302) 536-5415 Fax:
Mailing address
801 MIDDLEFORD RD
SEAFORD, DE 19973-3636
Phone: (302) 629-5217 Fax: (302) 629-9837
Organization Subpart
No
Authorized Official
WILLIAM PELOT
CHIEF ADMINISTRATOR OFFICER
Phone: (410) 543-7497
Updated
Certification Date
Jul 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 DE HSPTL-008

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.