Corridor Radiology, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CORRIDOR RADIOLOGY, LLC

Practice address

2769 Heartland Dr
Ste 105
Coralville, IA 52241-2732

Phone

(319) 545-7300

Fax

(319) 545-7309

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Julie G Lester

Title

Executive Director

Phone

(319) 545-7310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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 8

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

• Thomas D Berg, M.D.

  • Diagnostic Radiology Physician
  • Iowa City, IA
  • NPI 1134175219
  Medicare reassignment Care Compare group NPD
• Shane Arthur Kraske, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1568419604
  Medicare reassignment Care Compare group NPD
• Dean Alexander McNaughton, M.D.

  • Vascular & Interventional Radiology Physician
  • Coralville, IA
  • NPI 1790762672

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Jared Wynn Nelson, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1235455056
  Medicare reassignment Care Compare group NPD
• Aminata Traore, MD

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1619256823
  Medicare reassignment Care Compare group NPD
• Colin James O'Brien, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1134173016
  Medicare reassignment Care Compare group
• Scott Michael Truhlar, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
  • NPI 1326095704
  Medicare reassignment Care Compare group
• Robert Vincent Filippone Jr., D.O.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1477512002

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1679917371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR",
            "address_2": "STE 105",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-545-7300",
            "fax_number": "319-545-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR",
            "address_2": "STE 105",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-545-7300",
            "fax_number": "319-545-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-545-7310"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coralville Eye Associates, Inc (Pearle Vision Coralville)
• Coralville Healthcare Clinic, Inc.
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Corridor Chiropractic of Iowa PLC
• Corridor Ketamine LLC
• Corridor Surgery Center
• Corridor Surgery PLC
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #1111)
• Costco Wholesale Corporation (Costco Hearing Aid #1111)

• Diagnostic Radiology Physician in Coralville, IA
• Providers in Coralville, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.