P Praxis·MD
● Active Type 2 · Organization

Joseph P. Fetzek M.d., P.A.

Dermatology·Boise, ID· NPI 1982736435 · Enumerated 2007 · 19 years on NPI
Joseph P. Fetzek M.d., P.A. is 1 of 102 dermatology organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-11
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fetzek
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 102 active dermatology providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
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
10222 Summerwind Dr
Boise, ID 837043950
📞 2083773427
Mailing address
10222 Summerwind Dr
Boise, ID 837043950
📞 2083773427

Authorized official

Joseph Patrick Fetzek, M.D.
President
📞 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

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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