NPIMap

Organization Active NPI

Beacon Orthopaedics & Sports Medicine, LTD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Chester, OH
National Provider Identifier
1366100901
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Practice address
9100 Centre Pointe Dr Ste 150
West Chester, OH 45069-4840
Phone
(513) 354-3700
Fax
(513) 672-0543
NPI assigned
Dec 1, 2021
Last updated
Jul 24, 2025By the provider in NPPES
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
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

9100 Centre Pointe Dr Ste 150
West Chester, OH 45069-4840

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-7785

Other names 1

  • Beacon West Chester Centre Pointe Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209000157 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0345136412 Practice locations: West Chester, OH

National Provider Directory

National Provider Directory
Tax ID family
Beacon Orthopaedics Sports Medicine LTD47 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

9100 Centre Pointe Dr
Ste 150
West Chester, OH 45069

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1366100901",
    "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": "9100 CENTRE POINTE DR STE 150",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694840",
            "telephone_number": "513-354-3700",
            "fax_number": "513-672-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "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": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon West Chester Centre Pointe",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Beacon West Chester Centre Pointe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Chester, 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.