Beacon Orthopaedics Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0819AS Issued in OH

Legal business name

BEACON ORTHOPAEDICS SURGERY CENTER, LLC

Practice address

6480 Harrison Ave
Suite 200
Cincinnati, OH 45247-7961

Phone

(513) 354-7750

Fax

(513) 354-3708

NPI assigned

Jul 14, 2008

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

Mr. Timothy Yuckman

Title

Ceo

Phone

(513) 354-7785

Specialties & licenses 1

Addresses

Other names 1

• Beacon West Surgical 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 1255345229

  O20040108000695

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 1255345229
  NPD tax ID

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1861656449",
    "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": "6480 HARRISON AVE",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-7750",
            "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": "2008-07-14",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0819AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon West Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon West Surgical 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 Surgery Center, LLC
• Sara Anne Beagle, BS
• Elizabeth Beakye
• Alec Russell Beal, MSW, LSW
• Annastasia Rose Beal
• Daniel Michael Beal, M.D.

• 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.