IndividualActive
Matthew Parker, MD
NPI 1487049367 · Pediatrics Physician · Coeur D'Alene, ID
Provider details
- NPI number
- 1487049367
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M14323 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Lakeside Pediatric & Adolescent Medicine
980 W Ironwood Drive Suite 302
Coeur D'Alene, ID 83814
Phone: (310) 267-9129
Approximate (ZIP-level) locationGet directions
Mailing address
Lakeside Pediatric & Adolescent Medicine
Coeur D'Alene, ID 83814
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2019-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.