BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD (NPI# 1023589058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023589058 |
| Entity Type | Organization |
| Organization Name | BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD |
| Practice Address |
500 E Business Way Ste A Cincinnati OH 45241-2374 |
| Practice Telephone | 5133543700 |
| Mailing Telephone | 5133543700 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | ANDREW THOMAS BLANKEMEYER (CEO) |
| Authorized Official Telephone | 5135303062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000020238 | 01 |
| OH | 2374818 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6480 Harrison Ave, Cincinnati, OH 452477961 | 5133543700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1083082705 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 1360 State Route 46 E, Batesville, IN 47006-9269 | 2015-09-11 |
| 1699391094 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 8099 Cornell Rd Ste 100, Cincinnati, OH 45249-2231 | 2020-06-22 |
| 1780200196 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 5900 Boymel Dr, Fairfield, OH 45014-5526 | 2020-06-22 |
| 1366093288 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 3950 Red Bank Rd, Cincinnati, OH 45227-3429 | 2019-09-23 |
| 1518489921 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2017-07-07 |
| 1912375569 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 500 E-business Way, Cincinnati, OH 45241 | 2015-09-11 |
| 1699143313 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-09-11 |
| 1942678669 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 463 Ohio Pike, Cincinnati, OH 45255-3721 | 2015-09-11 |
| 1568830271 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 600 Rodeo Dr, Erlanger, KY 41018-1279 | 2015-09-11 |
| Street Address |
500 E BUSINESS WAY STE A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45241-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769515 | Gregory S. Newkirk | Physician Assistant | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2006-05-20 |
| 1053973768 | Erika M Ripperger | Physician Assistant | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2019-07-02 |
| 1376930537 | George Thomas Matic | Family Medicine | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2015-04-24 |
| 1902243751 | Megan Elizabeth Pater | Specialist/Technologist | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2013-06-03 |
| 1982641999 | Michael Lawson Swank | Orthopaedic Surgery | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348512 | Ultimate Rehab, Ltd. | Physical Therapy Assistant | 11305 Reed Hartman Hwy., Ste. 226, Cincinnati, OH 45241 | 2019-07-22 |
| 1548787682 | Brian Eversole | Community Health Worker | 11156 Canal Road, #a, Cincinnati, OH 45241 | 2017-08-29 |
| 1013464544 | Emily Niehaus | Specialist/Technologist | 10040 Bennington Drive, Cincinnati, OH 45241 | 2016-09-01 |
| 1003274523 | Samuel Cogen | Specialist/Technologist | 4480 Classic Dr, Blue Ash, OH 45241 | 2016-01-29 |
| 1023420940 | Suzette Kies | Physical Therapist | 3900 Cottingham Drive, Princeton City Schools, Cincinnati, OH 45241 | 2014-05-27 |
| 1457770703 | Timothy Craig Wylie | Podiatrist | 10475 Reading Rd Ste 308, Cincinnati, OH 45241 | 2014-04-15 |
| 1295150027 | Lisa Brackmann | Speech-Language Pathologist | 11150 Maple Avenue, Cincinnati, Ohio, OH 45241 | 2014-03-04 |
| 1740602416 | Karyn Bransford | Nurse Anesthetist, Certified Registered | 9306 Brandy Wine Ln, West Chester, OH 45241 | 2014-01-14 |
| 1144586868 | Nichole Sherrie Hickman | Counselor | 300 E Business Way Ste 200, Cincinnati, OH 45241 | 2012-04-06 |
| 1497044846 | Garrett Alexander Seghi | Dentist | 11438 Lebanon Pike (rt.42), Suite # F, Cincinnati, OH 45241 | 2011-04-06 |
| Find all providers in zip 45241 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595327 | Katelyn Marie Gurren | Specialist | 5050 Madison Rd # N, Cincinnati, OH 45227-1491 | 2020-07-20 |
| 1497224398 | Kimberly Wayne Bolden | Specialist | 5560 Edger Dr, Cincinnati, OH 45239-7293 | 2018-11-20 |
| 1285153262 | Philip Jason Jemison I | Specialist | 5050 Madison Road, Cincinnati, OH 45227 | 2017-09-12 |
| 1720520612 | Westside Primary Care, LLC | Specialist | 4342 Harrison Ave, Cincinnati, OH 45211-3322 | 2016-11-09 |
| 1710439427 | Mayo Tamura | Specialist | 8 Enfield St, Cincinnati, OH 45218-1434 | 2016-10-28 |
| 1336696301 | Tyler Matthew Wynn | Specialist | 151 W Galbraith Rd Ste N2045, Cincinnati, OH 45216-1015 | 2016-09-07 |
| 1508220047 | Kenneth Gans | Specialist | 1112 Fenmore Dr, Cincinnati, OH 45237-5120 | 2016-04-11 |
| 1922469303 | Emily Maue | Specialist | 5014 Madison Rd, Apt 5, Cincinnati, OH 45227-1432 | 2016-03-14 |
| 1598162109 | Melissa Hudson | Specialist | 11770 Pippin Rd, Cincinnati, OH 45231-1158 | 2014-11-25 |
| 1336555481 | Steven Spreen | Specialist | 6814 Miami Bluff Dr, Cincinnati, OH 45227-4313 | 2014-07-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45241 |
Please comment or provide details below to improve the information on BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.