Active NPI
Nathan D Sockrider, D.P.M.
- Podiatrist
- Racine, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 926025
- Practice address
- 3500 Meachem Rd
Racine, WI 53405-4681 - Phone
- (262) 554-7004
- Fax
- (262) 554-7833
- NPI assigned
- Jun 14, 2008
- Last updated
- Jun 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 926025 | WI | Primary |
Addresses
Primary practice location
3500 Meachem Rd
Racine, WI 53405-4681
Mailing address
145 N Jackson St
Apt 511
Milwaukee, WI 53202-6126
Phone (262) 554-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-1900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 47 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 926025 | WI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Horizon Home Care & Hospice, Inc. | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
2130 Big Bend Rd
Waukesha, WI 53189
Phone (262) 928-7555
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Interoperability endpoints
- nsockrider79715@direct.phci.org
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1720371719
-
- Home Health Agency
- Milwaukee, WI
- NPI 1780687327
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213401600000",
"number": "1285894055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 N JACKSON ST",
"address_2": "APT 511",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532026126",
"telephone_number": "262-554-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 MEACHEM RD",
"city": "RACINE",
"state": "WI",
"postal_code": "534054681",
"telephone_number": "262-554-7004",
"fax_number": "262-554-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCKRIDER",
"first_name": "NATHAN",
"middle_name": "D",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-14",
"last_updated": "2008-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "926025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
- Kelly Jean Smith, PH.D., LPC
- Michelle Snyderman, MD
- Ion Sochirca
- Society's Assets,Inc.
- Society's Assets,Inc.
- Maximillian Joseph Soldenwagner, OD
- Andrew Ira Solomon, DC
- Southeast Anesthesiology (Seac, SC)
- Southeast Wisconsin Hearing, LLC (Beltone of Racine & Kenosha)
- Southeast Wisconsin Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.