Jennifer Black Zachman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.36483 Issued in AL

Practice address

740 Museum Dr Ste E
Mobile, AL 36608-1940

Phone

(251) 344-1502

NPI assigned

Mar 29, 2016

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

Other names 1

• Jennifer Lindsay Black Former name

Electronic endpoints 1

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 Medicine

State licenses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1518320464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MUSEUM DR STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081940",
            "telephone_number": "251-344-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MUSEUM DR STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081940",
            "telephone_number": "251-344-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Center St Cweb 1",
            "address_2": "Room 1538",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366880001",
            "country_code": "US",
            "telephone_number": "251-434-3915",
            "fax_number": "251-415-1387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHMAN",
        "first_name": "JENNIFER",
        "middle_name": "BLACK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.36483",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "Y",
            "affiliationName": "Pediatric Associates of Mobile - USA Health",
            "address_1": "740 Museum Dr Ste E",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366081940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BLACK",
            "middle_name": "LINDSAY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bahaaeldin Ibrahim Mahmoud Youssef, M.B,CH.B.
• Delaney Yu
• Asri Yuliati, MD
• Zach Thompson LPC
• Dairn A. Zachary, CRNP
• Zaid Majid Tareq Zahid, MD
• Monica Grace Zanghi
• Phillip B Zaricor, CRNA
• Anna Meisler Zarzour, AUD
• Beck Roney Zarzour, M.S., CCC-SLP

• Pediatrics Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.