Corridor Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORRIDOR SURGERY CENTER

Practice address

1100 5TH St Ste 120
Coralville, IA 52241-2931

Phone

(319) 450-7619

Fax

(319) 382-2475

NPI assigned

Jan 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ericka Ruhl

Title

Office Manager

Phone

(319) 450-7619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Corridor Surgery CenterCCN 16C0001037

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kahlil Jihad Andrews, MD

  • Plastic and Reconstructive Surgery Physician
  • Coralville, IA
  • NPI 1144427311
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1285340430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 5TH ST STE 120",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412931",
            "telephone_number": "319-450-7619",
            "fax_number": "319-382-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 5TH ST STE 120",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412931",
            "telephone_number": "319-450-7619",
            "fax_number": "319-382-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "RUHL",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-450-7619"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralville Healthcare Clinic, Inc.
• Cornerstone Caregiving East LLC
• Corridor Chiropractic of Iowa PLC
• Corridor Ketamine LLC
• Corridor Radiology, LLC
• Corridor Surgery PLC
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Kirk D Crabtree, PHARM.D

• Ambulatory Surgical Clinic/Center in Coralville, IA
• Providers in Coralville, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.