# TIDALHEALTH PHYSICIAN NETWORK, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801777107
- **Authorized official:** WILLIAM PELOT (CHIEF ADMIN OFFICER)
- **Authorized official phone:** (410) 543-7497

## Contact information

- **Practice address:** 8472 HERRING RUN RD, SEAFORD, DE 19973-5763
- **Practice address phone:** (302) 297-2510
- **Practice address fax:** (302) 297-2511
- **Mailing address:** PO BOX 824327, PHILADELPHIA, PA 19182-4327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 09/11/2025