Individual provider Active NPI

Laura A Sonnenburg, PA

  • Medical Physician Assistant
  • Midland, TX
National Provider Identifier
1003214511
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09556 Issued in TX
Practice address
4214 Andrews Hwy Ste 306
Midland, TX 79703-4870
Phone
(432) 699-6000
Fax
(432) 699-6012
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA09556 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy Ste 306
Midland, TX 79703-4870

Mailing address

4214 Andrews Hwy Ste 306
Midland, TX 79703-4870
Phone (432) 699-6000

Other practice location 1

7101 Eastridge Rd
Odessa, TX 79765-8919
Phone (432) 550-0048

Other names 1

  • Laura A Quinn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150330000942 TX Practitioner - Physician Assistant 5890012959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Medicine PAGroup PAC ID 1658788377, 4 clinicians

Practice addresses (Care Compare)

4507 Santa Rosa Dr
Midland, TX 79707-2260
Phone (432) 683-8516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Vogel MD PA PastSince Oct 15, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.sonnenburg.1@24412.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1003214511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 306",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034870",
            "telephone_number": "432-699-6000",
            "fax_number": "432-699-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 306",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034870",
            "telephone_number": "432-699-6000",
            "fax_number": "432-699-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Eastridge Rd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797658919",
            "country_code": "US",
            "telephone_number": "432-550-0048",
            "fax_number": "432-550-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNENBURG",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "QUINN",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.