P Praxis·MD
● Active Type 1 · Individual

Matthew Parker, MD

Pediatrics·Coeur D'Alene, ID· NPI 1487049367 · Enumerated 2015 · 11 years on NPI
Parker is 1 of 3 pediatrics providers in Coeur D'Alene and 1 of 252 in Idaho.
NPI age
11 years
Enumerated 2015-03-30
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-04-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
11 years
↓ 7 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-03Enumerated in NPPES
2015 2026

Where they practice

Practice location
Lakeside Pediatric & Adolescent Medicine, 980 W Ironwood Drive Suite 302
Coeur D'Alene, ID 83814
📞 3102679129
Mailing address
Lakeside Pediatric & Adolescent Medicine, 980 W Ironwood Drive Suite 302
Coeur D'Alene, ID 83814

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #M14323 taxonomy 208000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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