Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Beacon Orthopaedics & Sports Medicine, Ltd

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1346818101

Beacon Orthopaedics & Sports Medicine, Ltd provides Sports Medicine (Orthopaedic Surgery) Physician services in Crestview Hills, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2900 Chancellor Dr
Crestview Hills, KY 41017-5427
Phone: (513) 354-3700
Fax: (513) 354-3705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1346818101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Yuckman — Ceo · (513) 354-7785
NPI enumeratedJune 16, 2021
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address6480 Harrison Ave Ste 201, Cincinnati, OH 45247-7961

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