NPIMap

Organization Active NPI

Beacon Orthopaedics & Sports Medicine, LTD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Dublin, OH
National Provider Identifier
1003698648
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Practice address
6850 Perimeter Dr
Dublin, OH 43016-8051
Phone
(614) 895-8747
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Yuckman
Title
Ceo
Phone
(513) 354-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X Primary

Addresses

Primary practice location

6850 Perimeter Dr
Dublin, OH 43016-8051

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (614) 895-8747

Other names 1

  • Ortho Foot and Ankle DBA OrthoAlliance of Ohio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820002259 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0345136412 Practice locations: Dublin, OH

National Provider Directory

National Provider Directory
Tax ID family
Beacon Orthopaedics SPTS M47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

6850 Perimeter Dr
Dublin, OH 43016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1003698648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "614-895-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 PERIMETER DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168051",
            "telephone_number": "614-895-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "YUCKMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-354-7785"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Foot and Ankle DBA OrthoAlliance of Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ortho Foot and Ankle DBA OrthoAlliance of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.