TIDALHEALTH PHYSICIAN NETWORK, INC. – NPI #1538972849
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

TIDALHEALTH PHYSICIAN NETWORK, INC. is a provider located in SEAFORD, DE. NPPES has assigned the NPI number 1538972849 to TIDALHEALTH PHYSICIAN NETWORK, INC. on January 30, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

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
1538972849
Enumeration Date

(more than a year 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
701 MIDDLEFORD RD # A
SEAFORD, DE 19973-3600
Phone: (302) 628-6344 Fax:
Mailing address
PO BOX 824327
PHILADELPHIA, PA 19182-4327
Phone: (410) 912-6989 Fax:
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
207RX0202X
- Internal Medicine / Medical Oncology (Primary)

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.