Search › Pennsylvania › 207Q00000X
Ronnie Shade, DO
NPI 1487394805 · on the registry since 2022
Practice
- Address
- 2940 N 5th St
Philadelphia, PA 19133 - Phone
- (215) 302-3600
- Fax
- (215) 329-2369
- Organisation at this address
- Esperanza Health Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 861 E Allegheny Ave, Philadelphia, PA
- 4417 N 6th St, Philadelphia, PA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania