BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD (NPI# 1518489921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518489921 |
| Entity Type | Organization |
| Organization Name | BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD |
| Other Organization Name | MIAMISBURG |
| Practice Address |
2835 Miami Village Dr Miamisburg OH 45342-4587 |
| Mailing Address |
500 E Business Way Cincinnati OH 45241-2374 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133547661 |
| Mailing Telephone | 5133543700 |
| Mailing Fax Number | 5133547661 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | DR. PETER CHA (PRESIDENT) |
| Authorized Official Telephone | 5133543700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Miamisburg | Doing Business As Name - Organization |
| 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 |
| 1023589058 | Beacon Orthopaedics & Sports Medicine, Ltd | Specialist | 500 E Business Way Ste A, Cincinnati, OH 45241-2374 | 2018-12-17 |
| 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 |
2835 MIAMI VILLAGE DR |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104890128 | Kevin David Wilson | Physical Therapist | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2006-02-15 |
| 1033721220 | Kellen Kubik | Physical Therapist | 2835 Miami Village Dr, Miamisburg, OH 45342-4916 | 2020-08-19 |
| 1811508914 | Jacob Tisevich | Physician Assistant | 2835 Miami Village Dr, Miamisburg, OH 45342-4916 | 2020-08-12 |
| 1164940722 | Gina Dobell | Physical Therapist | 2835 Miami Village Dr, Miamisburg, OH 45342 | 2017-09-05 |
| 1083138705 | The Therapy Source, Inc. | Durable Medical Equipment & Medical Supplies | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2017-08-03 |
| 1851667489 | Andrew Burleson | Orthopaedic Surgery | 2835 Miami Village Dr, Miamisburg, OH 45342 | 2012-03-28 |
| 1992091102 | Allison Marie Trelka | Physical Therapist | 2835 Miami Village Dr, Miamisburg, OH 45342-4916 | 2011-06-27 |
| 1497987838 | Andrew Joseph Razzano Jr. | Orthopaedic Surgery | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861666141 | Internal Medicine Associates, Inc. | Clinic/Center | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002816 | Choice Clinical Research, LLC | Clinic/Center | 140 W Kemper Rd Ste B, Cincinnati, OH 45246-2530 | 2020-10-29 |
| 1295341204 | Southwest Injury and Rehab Center, Inc. | Clinic/Center | 7391 Brandt Pike Ste C, Dayton, OH 45424-3274 | 2020-09-16 |
| 1063027951 | Renewed Health Care Practice | Clinic/Center | 1101 Larona Rd, Trotwood, OH 45426-2574 | 2020-09-09 |
| 1295349132 | Guiding Hands Rehab, Inc. | Clinic/Center | 606 W State St, Fremont, OH 43420-2534 | 2020-09-08 |
| 1780294116 | Beautiful Beginnings & Beyond: Midwifery LLC | Clinic/Center | 19 Eldred Ave, Bedford, OH 44146-2637 | 2020-07-31 |
| 1235747494 | Patient Priority Clinical Sites, LLC | Clinic/Center | 1207 Springfield Pike, Cincinnati, OH 45215-2123 | 2020-07-14 |
| 1730707662 | Evolution Through Mind, Body, and Spirit, LLC | Clinic/Center | 14055 Cedar Rd Ste 200, Cleveland, OH 44118-3333 | 2020-07-07 |
| 1710501259 | Jean K Hoffman, Dc | Clinic/Center | 4555 Sugar Berry Ln, Hilliard, OH 43026-1977 | 2020-06-01 |
| 1588285712 | Springway Medical and Addiction Treatment Center | Clinic/Center | 8515 Flowering Cherry Dr, Blacklick, OH 43004-8832 | 2020-04-28 |
| 1518587997 | Owlbridge Wellness | Clinic/Center | 5146 Renaissance Park Dr, Franklin, OH 45005-9697 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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.