Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gustave Theodore Ruckert, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1962574806

Dr. Gustave Theodore Ruckert, MD is an Obstetrics/Gynecology in Rochester, New York. Graduated from Columbia University College of Physicians and Surgeons in 1971, 55 years ago. Practices with Genesee Valley Obstetrics and Gynecology PC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
55
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

990 S Ave Ste 103
Rochester, NY 14620-2740
Phone: (585) 232-3210
Fax: (585) 232-4657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 114643 (NY)

Record details

NPI number1962574806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1971 (55 years in practice)
Group practice Genesee Valley Obstetrics And Gynecology Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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