SAKDIDEJ SUWAN (NPI# 1538137351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538137351 |
| Entity Type | Individual |
| Full Name | SAKDIDEJ SUWAN |
| Credential | M.D. |
| Practice Address |
419 Market St Freeport PA 16229-1121 |
| Practice Telephone | 7242955202 |
| Practice Fax Number | 7242951160 |
| Mailing Telephone | 7242955202 |
| Mailing Fax Number | 7242951160 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | MD014710Y | PA | Allopathic & Osteopathic Physicians |
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD014710Y | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006560810001 | 05 | |
| PA | BLUE SHEILD | 165045 | 01 |
| Street Address |
419 MARKET ST |
| City | FREEPORT |
| State | PA |
| Zip Code | 16229-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100643 | Freeport Medical Associates, Inc. | Internal Medicine | 419 Market St, Freeport, PA 16229-1121 | 2006-03-29 |
| 1356319172 | Nipapan Suwan | Pediatrics | 419 Market St, Freeport, PA 16229-1121 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205994605 | Jeremy Edwin Ronge | Chiropractor | 996 Freeport Rd, Freeport, PA 16229 | 2006-12-05 |
| 1669639951 | Freeport Area School District | Local Education Agency (LEA) | 621 S Pike Rd, Freeport, PA 16229-0303 | 2008-05-22 |
| 1669929097 | Ryan Flick | Physical Therapist | 209 1st St, Freeport, PA 16229-1005 | 2016-09-01 |
| 1497744155 | John Henry Geist | Specialist/Technologist | 207 4th St, Freeport, PA 16229-1115 | 2005-10-17 |
| 1740791524 | Merit Dental Inc. | Dentist | 421 Market St, Freeport, PA 16229-1121 | 2017-10-19 |
| 1033289715 | Freeport Emergency Medical Services Inc | Ambulance | 400 Market St, Freeport, PA 16229-1122 | 2006-11-09 |
| 1821301334 | Amanda Renee Bender | Optometrist | 332 4th St, Freeport, PA 16229-1130 | 2010-07-26 |
| 1285855122 | Estate of Cecil D Furer Od | Optometrist | 332 Fourth Street, Box 367, Freeport, PA 16229-1130 | 2007-05-01 |
| 1194782441 | Cynthia Grace Neff | Optometrist | 332 Fourth Street, Freeport, PA 16229-1130 | 2006-04-28 |
| 1265708614 | Freeport Eye Care Center, Inc | Optometrist | 332 4th St, Freeport, PA 16229-1130 | 2012-03-30 |
| Find all providers in zip 16229 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942798707 | Ibis Health Services-maine LLC | Internal Medicine | 140 Main St Ste 3, Freeport, ME 04032-1348 | 2018-04-27 |
| 1972053890 | Long Island Detox Inc. | Internal Medicine | 157 N Bayview Ave, Freeport, NY 11520-1901 | 2016-10-04 |
| 1134431455 | Laurie Ann Ramrattan | Internal Medicine | 153 Mission Road, Freeport, TRINIDAD 11111 | 2010-07-02 |
| 1487796850 | Johnson C Chan | Internal Medicine | 190 W Merrick Road, Freeport, NY 11520 | 2007-02-13 |
| 1740208933 | Scott Vincent Rankin | Internal Medicine | 276 Moore Ave, Freeport, NY 11520-1042 | 2006-07-17 |
| 1184662835 | Twin Cities Primary Care, LLC | Internal Medicine | 479 Highway 20 E, Freeport, FL 32439-3931 | 2006-06-03 |
| 1487620803 | William C Sharelis | Internal Medicine | 750 Kiwanis Dr, Freeport, IL 61032-7119 | 2006-02-25 |
| 1417920091 | Sergio Gabriel Suarez | Internal Medicine | 72 Guy Lombardo Ave, Suite 1, Freeport, NY 11520 | 2006-02-13 |
| 1164494449 | George Gregory Ross | Internal Medicine | 281 State Highway 20 E, Freeport, FL 32439-3929 | 2006-02-02 |
| 1316928617 | Peter K Chak | Internal Medicine | 33 North Ocean Ave, Freeport, NY 11520 | 2005-11-14 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.