OrganizationActive
State of Idaho
NPI 1588780449 · Podiatrist · Nampa, ID
Provider details
- NPI number
- 1588780449
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Sue Broetje, Administrative Director(208) 442-2812
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1660 11th Ave N
Nampa, ID 83687-5000
Phone: (208) 442-2812
Fax: (208) 467-5978
Street-level locationGet directions
Mailing address
1660 11th Ave N
Nampa, ID 83687-5000
Other names (DBA / former)
- Doing business as
- Dhw Issh Group Physicians
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.