Sansaricq OB/GYN, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

17868 Issued in AL

Legal business name

SANSARICQ OB/GYN, P.C.

Practice address

524 Stanton Rd
Mobile, AL 36617-2343

Phone

(251) 479-0058

Fax

(251) 479-1585

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Marissa Jadick

Title

Credentialing

Phone

(251) 479-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean A Sansaricq, MD

  • Obstetrics & Gynecology Physician
  • Mobile, AL
  • NPI 1376578088

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1720261266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "SANSARICQ OB/GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "JADICK",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "251-479-0058"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "17868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340735",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Sanders
• William R Sanderson, M.D.
• Jacie Sandlin, PA-C
• Michelle Ann Sanford, CRNP
• Fnu Sangam, M.D.
• Jean A Sansaricq, MD
• Jason P Sansing, CRNA
• Jayson Isaac Sansom
• Waleed Khalid Saoud
• Subina Sapkota, M.D.

• 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 Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.