Organization Active NPI

Dispatchhealth-Idaho, PC

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1386389476
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DISPATCHHEALTH-IDAHO, PC
Practice address
2121 Wisconsin Ave NW Ste 55
Washington, DC 20007-2264
Phone
(202) 793-6541
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

2121 Wisconsin Ave NW Ste 55
Washington, DC 20007-2264

Mailing address

3825 N Lafayette St
Denver, CO 80205-3316
Phone (303) 500-1518

Other practice location 1

1200 G St NW Fl 8
Washington, DC 20005-3814
Phone (303) 500-1518

National Provider Directory

National Provider Directory

Locations

2121 Wisconsin Ave NW
Ste 55
Washington, DC 20007
Phone (202) 793-6541

4823 Old Kingston Pike
Ste 140
Knoxville, TN 37919
Phone (658) 276-6969

810 Royal Pkwy
Ste 110
Nashville, TN 37214
Phone (615) 619-6331

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1386389476",
    "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": "303-500-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WISCONSIN AVE NW STE 55",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072264",
            "telephone_number": "202-793-6541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 G St NW Fl 8",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200053814",
            "country_code": "US",
            "telephone_number": "303-500-1518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISPATCHHEALTH-IDAHO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "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": []
}

Other providers in Washington, DC

Sources for this page

  • 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.