P Praxis·MD
● Active Type 2 · Organization

State Of Idaho

Family Medicine·Nampa, ID· NPI 1265558019 · Enumerated 2007 · 19 years on NPI
State Of Idaho is 1 of 1691 family medicine organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-22
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broetje
Administrative Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1660 11th Ave N
Nampa, ID 836875000
📞 2084422812fax 2084675978
Mailing address
1660 11th Ave N
Nampa, ID 836875000
📞 2084422812fax 2084675978

Authorized official

Sue Broetje
Administrative Director
📞 2084422812

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    taxonomy 207Q00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • DHW ISSH GROUP PHYSICIANS
    Type code 3 recorded 2007-03-22

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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