Beacon Orthopaedics Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0711AS Issued in OH

Legal business name

BEACON ORTHOPAEDICS SURGERY CENTER, LLC

Practice address

501 E-Business Way
Cincinnati, OH 45241

Phone

(513) 354-3737

Fax

(513) 354-3708

NPI assigned

Jul 27, 2006

Organization subpart

Yes

Parent organization

BEACON ORTHOPAEDICS & SPORTS MEDICINEAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Summit Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Beacon Orthopaedics Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1861656449

  O20040108000695

  Same enrollment

Listed as

Beacon Orthopaedics Surgery CenterCCN 36C0001171

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Beacon West Surgical CenterCCN 36C0001223

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Beacon Orthopaedics Surgery Center LLC3 organizations share this tax ID, including this one

Part of

Beacon Orthopaedics SPTS M

Other organizations with this tax ID 2

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

• Beacon Orthopaedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1407334881
  NPD tax ID
• Beacon Orthopaedics Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1861656449
  NPD tax ID

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1255345229",
    "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": "513-354-7785",
            "fax_number": "513-354-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E-BUSINESS WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45241",
            "telephone_number": "513-354-3737",
            "fax_number": "513-354-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ORTHOPAEDICS SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON ORTHOPAEDICS & SPORTS MEDICINE",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0711AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000292071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beacon Orthopaedics & Sports Medicine, LTD
• Beacon Orthopaedics & Sports Medicine, LTD
• Beacon Orthopaedics & Sports Medicine, LTD
• Beacon Orthopaedics & Sports Medicine, LTD
• Beacon Orthopaedics & Sports Medicine, LTD
• Beacon Orthopaedics Surgery Center, LLC
• Sara Anne Beagle, BS
• Elizabeth Beakye
• Alec Russell Beal, MSW, LSW
• Annastasia Rose Beal

• Ambulatory Surgical Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.