Lucien-Maximin Yanou Tchuisse, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME85684 Issued in FL

Practice address

7000 Old Wolf Bay Rd
Palatka, FL 32177-6816

Phone

(386) 325-5699

Fax

(386) 325-5644

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Obstetrics/Gynecology

Education

Howard University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Obstetrics and Gynecology PAGroup PAC ID 1153508098, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lucien.tchuisse.p1@direct.azahealth.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IEFEBA/Endpoint/IEFEBA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• First Coast Obstetrics and Gynecology PA

  • Obstetrics & Gynecology Physician
  • Palatka, FL
  • NPI 1710286067

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• First Coast Obstetrics and Gynecology PA

  • Obstetrics & Gynecology Physician
  • Palatka, FL
  • NPI 1710286067
  Medicare reassignment Care Compare group Authorized official
• Cove Diagnostics

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1194448407
  NPD (past)
• Exodus Women'S Center, Inc.

  • Obstetrics & Gynecology Physician
  • Lakeland, FL
  • NPI 1336306372
  NPD (past)
• Exodus Women'S Center, Inc.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1477710242
  NPD (past)
• S S Marathe MD PA

  • Nephrology Physician
  • Palatka, FL
  • NPI 1487846382
  NPD (past)
• Tampa Obstetrics, P.a.

  • Obstetrics & Gynecology Physician
  • Brandon, FL
  • NPI 1972694198
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Putnam Community Medical Center of North Florida, LLC

  • General Acute Care Hospital
  • Palatka, FL
  • NPI 1487045100
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1174591820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 OLD WOLF BAY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776816",
            "telephone_number": "386-325-5699",
            "fax_number": "386-325-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 OLD WOLF BAY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776816",
            "telephone_number": "386-325-5699",
            "fax_number": "386-325-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHUISSE",
        "first_name": "LUCIEN-MAXIMIN",
        "middle_name": "YANOU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME85684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264937300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "68-3815",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Wynn Sullivan, D.O.
• Sunrise Primary Care Inc
• Sunrise Primary Care Inc
• Siva Suryadevara, M.D.
• Kathleen Marie Tanner, LMT, LPN
• Ani Maria Tejada-Lipten, MD
• Sarah Ann Tellas, PT
• Tender Care Medical Services of St. Johns County, Inc.
• Tender Care Medical Services of St. Johns County, Inc.
• The Arc of Putnam County,Inc

• Obstetrics & Gynecology Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.