# BEACON ORTHOPAEDICS SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEACON ORTHOPAEDICS & SPORTS MEDICINE
- **Other names:** Beacon West Surgical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861656449
- **Legal business name:** BEACON ORTHOPAEDICS & SPORTS MEDICINE
- **Authorized official:** MR. TIMOTHY YUCKMAN (CEO)
- **Authorized official phone:** (513) 354-7785

## Contact information

- **Practice address:** 6480 HARRISON AVE, SUITE 200, CINCINNATI, OH 45247-7961
- **Practice address phone:** (513) 354-7750
- **Practice address fax:** (513) 354-3708
- **Mailing address:** 6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
- **Mailing address phone:** (513) 354-7785
- **Mailing address fax:** (513) 354-7651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0819AS | OH | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 04/07/2025