Doctor profile · Federal record
Dr. Shane Rudolph, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
- NPI 1922696244
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
10833 Knights RD
Philadelphia, PA 191544207
(215) 519-7279 - Additional location
-
60 Township Line RD
Elkins Park, PA 190272220
Credentials & registration
- NPI registered
- January 2021 — 5 yrs on file
- Specialty taxonomy
- 363LA2100X — NUCC code
- State license (1)
- Pennsylvania #SP023007
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922696244. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$48
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Urgo Medical North America, LLC | 3 | $47.53 |
By nature of payment
Frequently asked questions
What is Dr. Shane Rudolph's medical specialty?
Dr. Shane Rudolph practices Acute Care Nurse Practitioner in Philadelphia, PA.
Where does Dr. Shane Rudolph practice?
Dr. Shane Rudolph practices at 10833 Knights RD, Philadelphia, PA 191544207. Office phone: 2155197279.
What is Dr. Shane Rudolph's NPI?
Dr. Shane Rudolph's National Provider Identifier (NPI) is 1922696244, issued by NPPES.