Organization
BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY YUCKMAN (CEO)
(513) 354-7785
Entity
Organization
Contact information
Practice address
600 RODEO DR, ERLANGER, KY 41018-1279
(513) 354-3700
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/11/2015
Last updated
07/24/2025
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