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

Dr. Gustave Theodore Ruckert V, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1558628180

Dr. Gustave Theodore Ruckert V, DO is an Obstetrics/Gynecology in Penfield, New York. Graduated from Albany Medical College of Union University in 2016, 10 years ago. Practices with Genesee Valley Obstetrics and Gynecology PC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

21 Willow Pond Way Ste 100
Penfield, NY 14526-2687
Phone: (585) 641-0399
Fax: (585) 641-0388
Show map & directions

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

Additional practice locations (2)

  • 990 South Ave Ste 200, Rochester, NY 14620-2740 — (585) 232-3210
  • 408 N Main St, Warsaw, NY 14569-1015 — (585) 786-1560

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 283516 (NY)

Record details

NPI number1558628180
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2012
Last updated in NPPESJune 26, 2019

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2016 (10 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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