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

Ronnie Shade Jr., DO

Individual provider Family Medicine Physician · NPI 1487394805

Ronnie Shade Jr., DO is a Family Practice in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2022, 4 years ago. Practices with Esperanza Health Center, Inc, a 32-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2022
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.

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Practice location Address checks out

2940 N 5th St
Philadelphia, PA 19133-2801
Phone: (215) 302-3600
Fax: (215) 329-2369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 861 E Allegheny Ave, Philadelphia, PA 19134-2401 — (215) 302-3600
  • 4417 N 6th St, Philadelphia, PA 19140-2319 — (215) 302-3600

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS024474 (PA)

Record details

NPI number1487394805
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Esperanza Health Center, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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