Corey Kades Ruth, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MD027112E Issued in PA

Practice address

1500 Market Street
24TH Floor-West Tower
Philadelphia, PA 19102

Phone

(215) 255-3828

Fax

(215) 255-3577

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keystone Orthopaedic & Rehabilitation Center, Inc

  • Corporate Health Clinic/Center
  • Philadelphia, PA
  • NPI 1497929293
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1659339232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N BROAD ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-988-0611",
            "fax_number": "215-988-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "24TH FLOOR-WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-255-3828",
            "fax_number": "215-255-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "COREY",
        "middle_name": "KADES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD027112E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045080",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Antoinette Rust, DDS
• Tara Michelle Rustum, PT, DPT
• Logan Davis Rutch, DMD, MMS
• Julia Rutenberg, M.D.
• Ruth Eller'S Home Care LLC
• Linda Ruthen, LSW
• Sarah Rebecca Ruthen, MD
• Clinton Rutherford, DMD
• Flo A. Rutherford, CRNA
• Joshua Rutherford, PSY.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.