Active NPI
Christopher Sean Sockrider, MD
- Surgery Physician
- Shreveport, LA
National Provider Identifier
1477583391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 023879
- Practice address
- 820 Jordan St Ste 210
Shreveport, LA 71101-4519 - Phone
- (318) 212-3823
- Fax
- (318) 212-3887
- NPI assigned
- Jul 4, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 023879 | LA | Primary |
Addresses
Primary practice location
820 Jordan St Ste 210
Shreveport, LA 71101-4519
Mailing address
820 Jordan St Ste 210
Shreveport, LA 71101-4519
Phone (185) 249-5653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487392 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 Jordan St
Shreveport, LA 71101-4519
Phone (318) 524-9565
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Willis Knighton Medical Center
- Jackson Parish Hospital
- Minden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.22 of 100
- Quality
- 73.05
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 32 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023879 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breast Care Specialists AMC | Surgery | Current | Accepting new patients |
| WK Shreveport Breast Center | Surgery | Past | Accepting new patients |
| Christus Surgery Center Villages LLC | Past | Accepting new patients |
Locations
820 Jordan St
Ste 210
Shreveport, LA 71101
Phone (318) 524-9565
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Shreveport, LA
- NPI 1821127978
-
- Ambulatory Surgical Clinic/Center
- Shreveport, LA
- NPI 1598390015
-
- Surgery Physician
- Shreveport, LA
- NPI 1972532166
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Rural Acute Care Hospital
- Minden, LA
- NPI 1891873337
-
- Critical Access Hospital
- Jonesboro, LA
- NPI 1093793408
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1477583391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 JORDAN ST STE 210",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014519",
"telephone_number": "185-249-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 JORDAN ST STE 210",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014519",
"telephone_number": "318-212-3823",
"fax_number": "318-212-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCKRIDER",
"first_name": "CHRISTOPHER",
"middle_name": "SEAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "023879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487392",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.