Organization
BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Active
Other names
OrthoAlliance of Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY YUCKMAN (CEO)
(513) 354-7785
Entity
Organization
Contact information
Practice address
500 E BUSINESS WAY, CINCINNATI, OH 45241-2374
(513) 354-3700
(513) 354-3705
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020238
ANTHEM
OH
05
—
200153610A
—
IN
05
—
2374818
—
OH
Enumeration date
06/24/2006
Last updated
04/04/2025
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