TIDALHEALTH PHYSICIAN NETWORK INC. NPI 1063377679

NPI Information

  • NPI: 1063377679
  • Provider Name: TIDALHEALTH PHYSICIAN NETWORK, INC.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1000 HEALTH SERVICES DR
    SEAFORD, DE
    ZIP 19973
  • Phone: (302) 297-2506

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NPI Details

TIDALHEALTH PHYSICIAN NETWORK, INC. is a gastroenterology internal medicine in Seaford, DE. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. TIDALHEALTH PHYSICIAN NETWORK, INC. NPI is 1063377679. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 HEALTH SERVICES DR
SEAFORD, DE
ZIP 19973
Phone: (302) 297-2506

The provider's authorized official is William Pelot .
The authorized official title is Chief Administrator Officer and has the following contact phone number (410) 543-7497.

The enumeration date for this NPI number is 12/17/2025 and was last updated on 12/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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