National Provider Identifier Database

BEACON ORTHOPAEDICS SPORTS MEDICINE LTD
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
500 E BUSINESS WAY
CINCINNATI, OH45241-2374
Phone: 513-354-3700
Fax: 513-354-3705
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Nurse Practitioner 363L00000X
Physical Therapist 225100000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD

NPI Number 1386670065
Legal business name
LBN
BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Authorized official TIMOTHY YUCKMAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/24/2006
Last updated 04/04/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 200153610A
  • OH Medicaid: 2374818
  • OH Other: 000000020238 ANTHEM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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