P Praxis·MD
● Active Type 1 · Individual

DR. Joseph Patrick Fetzek, M.D.

Dermatology·Boise, ID· NPI 1154475556 · Enumerated 2007 · 19 years on NPI
Fetzek is 1 of 23 dermatology providers in Boise and 1 of 102 in Idaho.
NPI age
19 years
Enumerated 2007-01-22
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
6111 W Overland Rd
Boise, ID 837093018
📞 2083770450
Mailing address
10222 Summerwind Dr
Boise, ID 837043950
📞 2083773427

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    ID license #M3365 taxonomy 207N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new dermatology provider has been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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