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

Shane Ruckel

Individual provider Cardiovascular Disease Physician · NPI 1215391875

Shane Ruckel is a Cardiovascular Disease (Cardiology) in Ogden, Utah. Graduated from Ohio State University College of Medicine in 2016, 10 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Trained at
Ohio State University College of Medicine
Licensed in
UT
In the registry since
2016

Practice location Address checks out

4403 Harrison Blvd Ste 3490
Ogden, UT 84403-3284
Phone: (801) 387-2650
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 10498620-1205 (UT)

Record details

NPI number1215391875
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ogden