Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidalhealth Physician Network, Inc

Organization Family Medicine Physician · NPI 1871306191

Tidalhealth Physician Network, Inc provides Family Medicine Physician services in Federalsburg, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3304 Hayman Dr
Federalsburg, MD 21632-2626
Phone: (410) 754-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1871306191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pelot — Chief Administrator Officer · (410) 543-7497
Other names Tidalhealth Federalsburg; Tidalhealth Federalsburg
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing addressPo Box 824327, Philadelphia, PA 19182-4327

Other providers in Federalsburg