Dispatchhealth-Idaho PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

DISPATCHHEALTH-IDAHO PC

Practice address

4823 Old Kingston Pike Ste 140
Knoxville, TN 37919-6473

Phone

(658) 276-6969

NPI assigned

Sep 14, 2020

Organization subpart

Yes

Parent organization

DISPATCHHEALTH - IDAHO PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Kramer

Title

Chief Legal Officer

Phone

(215) 813-5940

Specialties & licenses 1

Addresses

Other names 1

• DispatchHealth Doing business as

Part of

Dispatchhealth-Idaho PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwenda Faye Goggin, P.A.

  • Physician Assistant
  • Tupelo, MS
  • NPI 1811943780
  NPD (past)
• Julianne Marie Lally

  • Physician Assistant
  • Mobile, AL
  • NPI 1326449299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1043825219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053316",
            "telephone_number": "303-904-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 OLD KINGSTON PIKE STE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196473",
            "telephone_number": "658-276-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Royal Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143759",
            "country_code": "US",
            "telephone_number": "615-619-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISPATCHHEALTH-IDAHO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISPATCHHEALTH - IDAHO PC",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "215-813-5940"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DispatchHealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DispatchHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Disability Resource Center
• Vinson Michael Disanto, DO
• Discover Speech Therapy, LLC
• Whitney Paige Disney, COTA/L
• Andrew Dean Dison, B.A.
• Emily Distasio
• Bridget Distefano, M.S. CCC-SLP
• Nina Ditommaso, PHD, LPC
• Lee B Dittrich, MD
• Christopher Dixon Sr.

• Emergency Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.