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

Shane Ruckle, MD

Individual provider Emergency Medicine Physician · NPI 1932133907

Shane Ruckle, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from Texas Tech University Health Science Center School of Medicine in 1996, 30 years ago. Practices with Iems Physician Services PLLC, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York, Pennsylvania, Texas and Wisconsin.

Years since qualifying
30
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
NY, PA, TX, WI
In the registry since
2006
Specialties on file
4
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

800 Spruce St 2 Cathcart
Philadelphia, PA 19107-6130
Phone: (215) 829-3264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 W Stout St, Rice Lake, WI 54868-5000 — (715) 236-4450

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD067927L (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 241661 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence V1699 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4490 (WI)

Record details

NPI number1932133907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Iems Physician Services Pllc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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