JACALYN C. BLACKWELL-WHITE M.D. – NPI #1548355506
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

JACALYN BLACKWELL-WHITE is a physician located in RANDALLSTOWN, MD. NPPES has assigned the NPI number 1548355506 to JACALYN BLACKWELL-WHITE on October 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 7 years ago on Apr 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACALYN BLACKWELL-WHITE below.

NPI Profile for
JACALYN C. BLACKWELL-WHITE

NPI Number
1548355506
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACALYN C. BLACKWELL-WHITE
Credentials
M.D.
Primary location
5400 OLD COURT RD STE 300B
RANDALLSTOWN, MD 21133-5100
Phone: (410) 521-7337 Fax: (410) 521-7377
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JACALYN BLACKWELL-WHITE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCAREFIRSTMD1789J
MEDICAIDMD443261400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
MD D35187

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.