P Praxis·MD
● Active Type 1 · Individual

Harry Ralph Vanderwal JR., MD

Pediatrics·Sandpoint, ID· NPI 1881803971 · Enumerated 2007 · 19 years on NPI
Vanderwal is 1 of 7 pediatrics providers in Sandpoint and 1 of 252 in Idaho.
NPI age
19 years
Enumerated 2007-05-22
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
19 years
≈ at median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
420 N 2nd Ave, Ste 100
Sandpoint, ID 838641565
📞 2082652242fax 2082658214
Mailing address
420 N 2nd Ave, Ste 100
Sandpoint, ID 838641552
📞 2082652242fax 2082658214

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 #M 9823 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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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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