Jean A Sansaricq, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

17868 Issued in AL

Practice address

524 Stanton Rd
Mobile, AL 36617-2343

Phone

(251) 479-0058

Fax

(251) 479-1585

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01G0
• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01B0
• bcbs alabama network 01C0

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.

• Sansaricq OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
  • NPI 1720261266

  Single Specialty

  Medicare reassignment NPD
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802

  Single Specialty

  NPD (past)
• University of South Alabama

  • Children's Hospital
  • Mobile, AL
  • NPI 1023055191
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1376578088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7627",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36670",
            "telephone_number": "251-633-0573",
            "fax_number": "251-633-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 STANTON RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172343",
            "telephone_number": "251-479-0058",
            "fax_number": "251-479-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSARICQ",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "17868",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "17868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982570",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "51506914",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Sanderson, M.D.
• Jacie Sandlin, PA-C
• Michelle Ann Sanford, CRNP
• Fnu Sangam, M.D.
• Sansaricq OB/GYN, P.C.
• Jason P Sansing, CRNA
• Jayson Isaac Sansom
• Waleed Khalid Saoud
• Subina Sapkota, M.D.
• Teresa Sapp, MSN, APRN, PMHNP-BC

• Obstetrics & Gynecology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.