MEDICARE: MS. SONJA RENAE BAER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001863	IA
2	363A00000X	Physician Assistant	PA9118914	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265611966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONJA RENAE BAER PA-C

Provider Business Mailing Address
First Line	:	6000 UNIVERSITY AVE STE 450
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8229
Country	:	US
Telephone Number	:	515-241-2000
Fax Number	:	515-241-2005

Provider Business Practice Location Address
First Line	:	6600 UNIVERSITY PKWY STE 302
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-9048
Country	:	US
Telephone Number	:	941-800-5001
Fax Number	:	941-800-5012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	04/14/2026

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