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

Mr. Shad Thomas Ruby, CNP

Individual provider Acute Care Nurse Practitioner · NPI 1700476900

Mr. Shad Thomas Ruby, CNP is a Nurse Practitioner in Portsmouth, Ohio. Qualified in 2020, 6 years ago. Practices with Somc Medical Care Foundation, Inc, a 382-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1805 27th St
Portsmouth, OH 45662-2686
Phone: (740) 356-6891
Fax: (740) 356-1280
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0027236 (OH)

Record details

NPI number1700476900
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address1735 27th St Ste B06, Portsmouth, OH 45662-2681

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Somc Medical Care Foundation, Inc. — 382 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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