| Beacon Orthopaedics & Sports Medicine, Ltd | |
|
600 Rodeo Dr Erlanger KY 41018-1279 | |
| (513) 354-3700 | |
| Not Available |
| Full Name | Beacon Orthopaedics & Sports Medicine, Ltd |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 600 Rodeo Dr, Erlanger, Kentucky |
| Authorized Official Name and Position | Timothy Yuckman (CEO) |
| Authorized Official Contact | 5133547785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Orthopaedics & Sports Medicine, Ltd 6480 Harrison Ave Ste 201 Cincinnati OH 45247-7961 Ph: (513) 354-3700 | Beacon Orthopaedics & Sports Medicine, Ltd 600 Rodeo Dr Erlanger KY 41018-1279 Ph: (513) 354-3700 |
| NPI Number | 1568830271 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 07/24/2025 |
| Medicare PECOS PAC ID | 0345136412 |
|---|---|
| Medicare Enrollment ID | O20150923001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568830271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (* (Not Available)) | Primary |
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