Organization
BEACON ORTHOPAEDICS SURGERY CENTER, LLC
Active
Parent organization
BEACON ORTHOPAEDICS & SPORTS MEDICINE
Other names
Beacon West Surgical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON ORTHOPAEDICS & SPORTS MEDICINE
Authorized official
MR. TIMOTHY YUCKMAN (CEO)
(513) 354-7785
Entity
Organization
Contact information
Practice address
6480 HARRISON AVE, SUITE 200, CINCINNATI, OH 45247-7961
(513) 354-7750
(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
0819AS
OH
Other
Enumeration date
07/14/2008
Last updated
04/07/2025
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