Provider Demographics
NPI:1366506065
Name:BARON, SARAH L (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:L
Last Name:BARON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 27608
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-7608
Mailing Address - Country:US
Mailing Address - Phone:505-771-1089
Mailing Address - Fax:505-771-2581
Practice Address - Street 1:700 HIGH ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2526
Practice Address - Country:US
Practice Address - Phone:505-242-4444
Practice Address - Fax:505-242-3820
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2008-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM97188207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA3477Medicaid
611484600OtherDEPARTMENT OF ENERGY
NM201032593OtherPOES HEALTH PLAN
560137OtherARIZONA MEDICAID
NMNM019289OtherBCBS
787002596OtherDUNS FOR INDIAN HEALTH
PROVP11783OtherMOLINA HEALTHCARE
611484600OtherDEPARTMENT OF ENERGY
PROVP11783OtherMOLINA HEALTHCARE
NM201032593OtherPOES HEALTH PLAN