NPI age
2 years
Enumerated 2023-11-01
● Active Type 2 · Organization
Head Sport Em Llc
Head Sport Em Llc is 1 of 26 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Panos
Owner
Last NPPES update
2023-11-01
Source: monthly bulk 2026-05
How this organization compares
Across 26 active family medicine providers in Idaho.
NPI age
2 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
980 W Ironwood Dr Ste 206
Coeur D Alene, ID 838142668
Mailing address
980 W Ironwood Dr Ste 206
Coeur D Alene, ID 838142668
Authorized official
Craig Panos, MD
Owner
📞 2085124334
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Craig Panos, M. D. Family Medicine NPI 1104855188
- Philomena Pinard Massage Therapist NPI 1265302269
- Andrew Thrasher, LMT Massage Therapist NPI 1952177974
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Head Spine Sport
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.