Active NPI
Freeport Medical Associates, Inc.
- Pediatrics Physician
- Freeport, PA
National Provider Identifier
1336100643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD014950Y
- 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
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sakdidej Suwan, M.D.
- Title
- President
- Phone
- (724) 295-5202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD014710Y | PA | |
| Infectious Disease Physician | 207RI0200X | MD014710Y | PA | |
| Pediatrics Physician | 208000000X | MD014950Y | PA | Primary |
Addresses
Primary practice location
419 Market St
Freeport, PA 16229-1121
Mailing address
419 Market St
Freeport, PA 16229-1121
Phone (724) 295-5202
National Provider Directory
National Provider DirectoryLocations
419 Market St
Freeport, PA 16229
Phone (724) 295-5202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Freeport, PA
- NPI 1538137351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1336100643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 MARKET ST",
"city": "FREEPORT",
"state": "PA",
"postal_code": "162291121",
"telephone_number": "724-295-5202",
"fax_number": "724-295-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 MARKET ST",
"city": "FREEPORT",
"state": "PA",
"postal_code": "162291121",
"telephone_number": "724-295-5202",
"fax_number": "724-295-1160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEPORT MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SUWAN",
"authorized_official_first_name": "SAKDIDEJ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-295-5202",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD014710Y",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD014710Y",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "MD014950Y",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.