Ralph H. Ruckle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD9576 Issued in TN

Practice address

103 Redbud Dr
Suite C
Portland, TN 37148-1617

Phone

(615) 325-7337

Fax

(615) 325-0164

NPI assigned

Sep 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sumner Physician Practices LLC

  dba HighPoint Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Gallatin, TN
  • NPI 1720572209
  Medicare reassignment NPD
• Ralph H. Ruckle, MD

  • Family Medicine Physician
  • Portland, TN
  • NPI 1841491990
  Authorized official Same address or phone
• Sumner Physician Practices LLC

  dba Portland Family Wellness

  • Family Medicine Physician
  • Portland, TN
  • NPI 1457719064
  NPD
• Sumner Physician Practices, LLC

  dba Highpoint Cardiology with Ascension Saint Thomas Heart

  • Interventional Cardiology Physician
  • Gallatin, TN
  • NPI 1417782194
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790770378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 REDBUD DR",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481617",
            "telephone_number": "615-325-7337",
            "fax_number": "615-325-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 REDBUD DR",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481617",
            "telephone_number": "615-325-7337",
            "fax_number": "615-325-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKLE",
        "first_name": "RALPH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD9576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Spruce Emergency Physicians, PLLC
• Andrea Reed, NP
• Justin Tyler Reid, OD
• Results-Ast JV, LLC (Results Physiotherapy Together With Ascension Saint Thomas)
• Richland Place Senior Living
• Tasha Ruffin
• Pepito Salcedo, MD
• Salient Emergency Physicians, PLLC
• Christine Sexton, OTR/L
• Paige Sexton, DPT

• Family Medicine Physician in Portland, TN
• Providers in Portland, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.