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Head Sport Em LLC

Sports Medicine (Family Medicine) Physician in Coeur D Alene, ID · enumerated 2023 · authorized official Craig Panos, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194598102

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Registry record

Entity type Organization (Type 2)
Legal business name Head Sport Em LLC
Practice address 980 W Ironwood Dr Ste 206, Coeur D Alene, ID, 83814
Phone (208) 512-4334
Enumeration date Nov 1, 2023
Last updated in NPPES Nov 1, 2023

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Craig Panos
Title Owner
Phone (208) 512-4334

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Head Sport Em LLC?
The NPI for Head Sport Em LLC is 1194598102, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Head Sport Em LLC?
NPPES lists Craig Panos (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-01.