OrganizationActive
Joseph P. Fetzek M.D., P.A.
NPI 1982736435 · Dermatology Physician · Boise, ID
Provider details
- NPI number
- 1982736435
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Fetzek, President(208) 377-3427
- License
- M3365 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
10222 Summerwind Dr
Boise, ID 83704-3950
Phone: (208) 377-3427
Street-level locationGet directions
Mailing address
10222 Summerwind Dr
Boise, ID 83704-3950
Registry dates
- Enumerated
- 2007-03-11
- 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.