State of Idaho
NPI 1588780449ActiveOrganization· Podiatrist· Nampa, ID
Podiatrist in Nampa, Idaho, registered in NPPES in March 2007. The authorized official on file is Sue Broetje, Administrative Director.
Overview
| NPI | 1588780449 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Podiatrist providers in Nampa
- 1699763540