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

Tidalhealth Primary Care, LLC

Organization Family Medicine Physician · NPI 1366304420

Tidalhealth Primary Care, LLC is a Family Medicine Physician in Selbyville, Delaware. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 N Williams St
Selbyville, DE 19975-7514
Phone: (302) 436-8004
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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 number1366304420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sloan Trammell — Insurance Credentialing Manager · (410) 912-6989
NPI enumeratedNovember 26, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing addressPo Box 825474, Philadelphia, PA 19182-5474

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