Yvrose Valcourt, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

058526 Issued in GA

Practice address

124 Medical Park Dr
Walterboro, SC 29488-5719

Phone

(843) 782-3636

Fax

(843) 782-3269

NPI assigned

Sep 27, 2006

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Female

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 1

Other names 1

• Dr. Yvrose Toussaint Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Phoebe Putney Memorial Hospital Inc

  dba Phoebe Putney Memorial Hosptial

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1750472908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MEDICAL PARK DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885719",
            "telephone_number": "843-782-3636",
            "fax_number": "843-782-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MEDICAL PARK DR",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885719",
            "telephone_number": "843-782-3636",
            "fax_number": "843-782-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCOURT",
        "first_name": "YVROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "29352",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G58526",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVROSE",
            "last_name": "TOUSSAINT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole E Trumbull, OTR/L
• Meagan Tyler
• United Rehab Inc. (United Rehab of Walterboro)
• Alyssa W Ursini, FNP
• Valcourt Pediatric Associates
• Kathryn Anne Vanravenstein, A.P.R.N.
• Josh Vigder
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1358)
• Wal-Mart Stores East, LP (Vision center 30-1358)
• Walgreen Co (Walgreens #9284)

• Pediatrics Physician in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.