Healthcare Provider Details

I. General information

NPI: 1376512624
Provider Name (Legal Business Name): BEVERLY JEAN YAMOUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E TEMPLE ST
WASHINGTON COURT HOUSE OH
43160-3401
US

IV. Provider business mailing address

1201 E TEMPLE ST
WASHINGTON COURT HOUSE OH
43160-3401
US

V. Phone/Fax

Practice location:
  • Phone: 740-333-7296
  • Fax: 740-333-7866
Mailing address:
  • Phone: 740-333-7296
  • Fax: 740-333-7866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.047532
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35047532Y
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35047532Y
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: