Individual provider · Type 1 NPI

Ronnie Shade Jr., DO

Family Medicine Physician · Philadelphia, PA

NPI number 1487394805 Active

Practice location

2940 N 5th St
Philadelphia, PA 19133-2801

Call (215) 302-3600 Map

Fax (215) 329-2369

Mailing address

2433 N 50th St
Philadelphia, PA 19131-1404

Other practice locations

861 E Allegheny Ave, Philadelphia, PA 19134-2401 · (215) 302-3600
4417 N 6th St, Philadelphia, PA 19140-2319 · (215) 302-3600

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	OS024474 (PA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1487394805

Ronnie Shade Jr., DO's National Provider Identifier is 1487394805, issued on Apr 1, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 7, 2026.