Organization
BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW THOMAS BLANKEMEYER (CEO)
(513) 530-3062
Entity
Organization
Contact information
Practice address
500 E BUSINESS WAY STE A, CINCINNATI, OH 45241-2374
(513) 354-3700
Mailing address
500 E BUSINESS WAY STE A, CINCINNATI, OH 45241-2374
(513) 354-3700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020238
ANTHEM
OH
05
—
2374818
—
OH
Enumeration date
12/17/2018
Last updated
12/17/2018
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