Ralph H. Ruckle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD9576 Issued in TN

Legal business name

RALPH H. RUCKLE, MD

Practice address

103 Redbud Dr
Suite C
Portland, TN 37148-1617

Phone

(615) 325-7337

Fax

(615) 325-0164

NPI assigned

May 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph H. Ruckle, MDNPI 1790770378

Title

Owner

Phone

(615) 325-7337

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ralph H. Ruckle, M.D.

  • Family Medicine Physician
  • Portland, TN
  • NPI 1790770378
  Authorized official Same address or phone

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841491990",
    "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": {
        "organization_name": "RALPH H. RUCKLE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUCKLE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-325-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD9576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Wellness Center PLLC
• Precision Chiropractic of Portland
• Premise Health of Tennessee Medical PC (Unipres - Portland)
• Marlys K Proctor, P.T.A.
• Progressivehealth Healthspot
• 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

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.