Freeport Medical Associates, Inc.
Organization Active NPI Pediatrics Physician · Freeport, PA
NPI 1336100643 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1336100643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD014950Y (PA)
- Legal business name
- FREEPORT MEDICAL ASSOCIATES, INC.
- Practice address
- 419 Market St
Freeport, PA 16229-1121 - Phone
- (724) 295-5202
- Fax
- (724) 295-1160
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Sakdidej Suwan, M.D.
- Title
- President
- Phone
- (724) 295-5202
National Provider Directory
Locations
419 Market St
Freeport, PA 16229
Phone (724) 295-5202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD014710Y | PA | |
| Infectious Disease Physician |
207RI0200X | MD014710Y | PA | |
| Pediatrics Physician |
208000000X | MD014950Y | PA | Yes |
Addresses
Primary practice location
419 Market St
Freeport, PA 16229-1121
Mailing address
419 Market St
Freeport, PA 16229-1121
Phone (724) 295-5202
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732119 | Other | PA | BLUE SHIELD |
| 0006560450001 | Medicaid | PA |
Other providers in Freeport, PA
- Rebecca Fennell
- Ryan Flick
- Freeport Area School District
- Freeport Emergency Medical Services Inc
- Freeport Eye Care Center, Inc
- John Henry Geist
- Fadi Raghid Ibrahim
- Keystone Rehabilitation Systems Inc
- Brian James Manzi
- Merit Dental Inc.
All providers in Freeport, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.