Organization
BEACON ORTHOPAEDICS SURGERY CENTER, LLC
Active
Parent organization
BEACON ORTHOPAEDICS & SPORTS MEDICINE
Other names
Summit Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON ORTHOPAEDICS & SPORTS MEDICINE
Authorized official
TIMOTHY YUCKMAN (CEO)
(513) 354-7785
Entity
Organization
Contact information
Practice address
501 E-BUSINESS WAY, CINCINNATI, OH 45241
(513) 354-3737
(513) 354-3708
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7785
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0711AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292071
ANTHEM
OH
Enumeration date
07/27/2006
Last updated
04/07/2025
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