BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD (NPI# 1104442516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442516 |
| Entity Type | Organization |
| Organization Name | BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD |
| Practice Address |
100 Arrow Springs Blvd Ste 2600 Lebanon OH 45036-7021 |
| Mailing Address |
6480 Harrison Ave Ste 201 Cincinnati OH 45247-7961 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133547651 |
| Mailing Telephone | 5133547785 |
| Mailing Fax Number | 5133547651 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | ANDREW THOMAS BLANKEMEYER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5133547785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1023589058 | Beacon Orthopaedics & Sports Medicine, Ltd | Specialist | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2018-12-17 |
| 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 |
100 ARROW SPRINGS BLVD STE 2600 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-7021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760779466 | Spring View Physician Practices, LLC | Orthopaedic Surgery | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2011-07-01 |
| 1588864938 | Orthocincy | Orthopaedic Surgery | 100 Arrow Springs Blvd, Suite 2600, Lebanon, OH 45036-9864 | 2007-07-24 |
| 1508896176 | Charles Carr | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790281517 | Mercy Health Physicians Cincinnati LLC | Orthopaedic Surgery | 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 | 2018-04-02 |
| 1952817413 | Caitlin Elisabeth Lefevre | Orthopaedic Surgery | 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 | 2017-12-20 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1699020206 | Benjamin D. Richman | Orthopaedic Surgery | 245 Meadowood Ln, Moreland Hills, OH 44022-1342 | 2012-07-19 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
| 1376748087 | Jovan Riste Laskovski | Orthopaedic Surgery | 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312-5277 | 2007-06-21 |
| Find all providers with the same taxonomy | ||||
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| 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.