Christopher S Sockrider (NPI# 1477583391, PAC ID# 1557267283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1477583391 |
PAC ID by PECOS | 1557267283 |
Professional Enrollment ID | I20031211000785 |
Full Name | Christopher S Sockrider |
Organization Legal Name | BREAST CARE SPECIALISTS AMC |
Address |
1400 E Bert Kouns Ind Loop Suite 100 Shreveport LA 71105-5647 |
Phone Number | 3185249565 |
Gender | M |
Credential | MD |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
Graduation Year | 1997 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 3870690985 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
Address | Phone | Organization |
---|---|---|
1400 E Bert Kouns Ind Loop, Suite 100, Shreveport, LA 71105-5647 | 3185249565 | BREAST CARE SPECIALISTS AMC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | BREAST CARE SPECIALISTS AMC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie M. Broadwell | General Surgery | Breast Care Specialists Amc | 1400 E Bert Kouns Ind Loop, Suite 100, Shreveport, LA 71105-5647 |
Street Address |
1400 E BERT KOUNS IND LOOP SUITE 100 |
City | SHREVEPORT |
State | LA |
Zip | 71105-5647 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie M. Broadwell | General Surgery | Breast Care Specialists Amc | 1400 E Bert Kouns Ind Loop, Suite 100, Shreveport, LA 71105-5647 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mairus T Mcfarland | General Practice | 3331 Youree Dr, Shreveport, LA 71105-2115 | |
Suresh Kumar | Neurology | 3555 Youree Dr, Shreveport, LA 71105-2119 | |
James S Harrold Jr. | Psychiatry | 2924 Knight St, Suite 434, Shreveport, LA 71105-2413 | |
Kimberly D. Law | Psychiatry | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
Orlise M Aubrey | Clinical Social Worker | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
Tom Staats | Clinical Psychologist | Comprehensive Assessments, Inc | 3010 Knight St, Shreveport, LA 71105-2541 |
Suzannah K York-crump | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
Elizabeth M Hansen | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
Carson S Holtzclaw | Physician Assistant | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
Ayesha Tabassom | Emergency Medicine | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
Find all physicians in zip 71105 |
City | SHREVEPORT |
Zip Code | 71105 |
Specialty | GENERAL SURGERY |
City + Specialty | SHREVEPORT + GENERAL SURGERY |
Please comment or provide details below to improve the information on Christopher S Sockrider.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.