Maria Lynn Sonnack, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

075152 Issued in IA

Practice address

2710 North Dodge Suite 1
Iowa City, IA 52245

Phone

(319) 400-1311

Fax

(319) 575-6025

NPI assigned

Aug 21, 2014

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Ideal Health and Wellness, SC

  dba Ideal Health and Wellness, SC, Corp

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1689013393
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1518366913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 NORTH DODGE SUITE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-400-1311",
            "fax_number": "319-575-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 NORTH DODGE SUITE 1",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-400-1311",
            "fax_number": "319-575-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNACK",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "075152",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "075152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Marie Somers-Flack
• Douglas L Somers, MD
• Laura Kathleen Somppi-Montgomery, MD
• Esther Song, ARNP
• Sonia Liliana Liggins, LMHC LLC
• Ravi Sood, MD
• Carlie Sorensen, MD
• Kathleen M Sorensen, DO
• Tiffany Sorensen, PA-C
• Susan R Sorenson

• Medical Physician Assistant in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.