Lakeside Pediatric & Adolescent Medicine, PLLC
NPI 1003975087 · Pediatric Adolescent Medicine Physician · Coeur D'Alene, ID
Lakeside Pediatric & Adolescent Medicine, PLLC is a Pediatric Adolescent Medicine Physician organization in Coeur D'Alene, ID (NPI 1003975087).
Provider details
- NPI number
- 1003975087
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Vanhook, Office Manager(208) 292-5437
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2012-07-12
Frequently asked questions
- What is Lakeside Pediatric & Adolescent Medicine, PLLC's NPI number?
- Lakeside Pediatric & Adolescent Medicine, PLLC's National Provider Identifier (NPI) is 1003975087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pediatric & Adolescent Medicine, PLLC?
- Lakeside Pediatric & Adolescent Medicine, PLLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Pediatric & Adolescent Medicine, PLLC located?
- Lakeside Pediatric & Adolescent Medicine, PLLC's practice location on file with NPPES is 980 W Ironwood Dr, Coeur D'Alene, ID 83814-2601.
- What is Lakeside Pediatric & Adolescent Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pediatric & Adolescent Medicine, PLLC is (208) 292-5437.
- Who is the authorized official for Lakeside Pediatric & Adolescent Medicine, PLLC?
- The authorized official listed on Lakeside Pediatric & Adolescent Medicine, PLLC's NPPES record is Diana Vanhook, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pediatric & Adolescent Medicine, PLLC's NPI active?
- Yes — Lakeside Pediatric & Adolescent Medicine, PLLC's NPI (1003975087) is active in the NPPES registry as of the last update on 2012-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.