Head Sport Em LLC
NPI 1194598102 · Sports Medicine (Family Medicine) Physician · Coeur D Alene, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Head Sport Em LLC is a Sports Medicine (Family Medicine) Physician organization in Coeur D Alene, ID (NPI 1194598102).
Provider details
- NPI number
- 1194598102
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Panos, Owner(208) 512-4334
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
2 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
Other names (DBA / former)
- Doing business as
- Head Spine Sport
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Frequently asked questions
- What is Head Sport Em LLC's NPI number?
- Head Sport Em LLC's National Provider Identifier (NPI) is 1194598102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Head Sport Em LLC?
- Head Sport Em LLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Head Sport Em LLC located?
- Head Sport Em LLC's practice location on file with NPPES is 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814-2668.
- What is Head Sport Em LLC's phone number?
- The practice phone number listed in the NPPES registry for Head Sport Em LLC is (208) 512-4334.
- Does Head Sport Em LLC accept Medicare?
- Head Sport Em LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Head Sport Em LLC?
- The authorized official listed on Head Sport Em LLC's NPPES record is Craig Panos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Head Sport Em LLC's NPI active?
- Yes — Head Sport Em LLC's NPI (1194598102) is active in the NPPES registry as of the last update on 2023-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.