Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEAD SPORT EM LLC
NPI 1194598102
Family Medicine - Sports Medicine in Coeur D Alene, ID

Q: What is Head Sport Em LLC's NPI number?

The NPI number for Head Sport Em LLC is 1194598102. It was assigned to this organization in the NPPES registry on November 1, 2023. The provider is doing business as Head Spine Sport.

Q: What is Head Sport Em LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Head Sport Em LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2023

980 W IRONWOOD DR STE 206, COEUR D ALENE, ID 83814(208) 512-4334 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Nov 1, 2023 (2 updates tracked since 2023).

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About Head Sport Em Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAD SPORT EM LLC (NPI 1194598102), doing business as Head Spine Sport, is a healthcare organization registered as a sports medicine in Coeur D Alene, Idaho and active in the NPI registry since November 2023. The organization lists Craig Panos, Owner, as its authorized official.

NPPES Registry Identity

NPI1194598102

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameHEAD SPORT EM LLC

Location Address980 W IRONWOOD DR STE 206Coeur D Alene, ID 83814-2668

Mailing Address980 W Ironwood Dr Ste 206Coeur D Alene, ID 83814-2668 · (208) 215-2030 · Fax (208) 400-9537

Phone(208) 512-4334

Organization SubpartNo

Authorized OfficialCraig PanosOwner · (208) 215-2030

Enumeration DateNovember 1, 2023

Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1194598102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

980 W IRONWOOD DR STE 206, Coeur D Alene, ID 83814

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Other Names 1

Doing Business AsHead Spine Sport

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG JAMES PANOS M. D.

Family Medicine