Dispatchhealth-Idaho PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

DISPATCHHEALTH-IDAHO PC

Practice address

9100 Marksfield Rd
Louisville, KY 40222-5299

Phone

(208) 268-8024

NPI assigned

Jun 21, 2022

Last updated

Jul 7, 2025By the provider in NPPES

Organization subpart

No

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

Tax ID family

Dispatchhealth-Idaho PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dispatch Health Idaho PC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1801559265
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dispatchhealth-Idaho PC

  • Emergency Medicine Physician
  • Louisville, KY
  • NPI 1639752389
  NPPES parent name

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1578294534",
    "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": "9100 MARKSFIELD RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225299",
            "telephone_number": "208-268-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISPATCHHEALTH-IDAHO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discount Medical Supply Inc
• Discovery Developmental Services
• Tommy Lloyd Dishion, DPT
• Whelan Kassteel Disney, DPT
• Dispatch Health Idaho PC
• Dispatchhealth-Idaho PC
• Derek Disponette
• Distler Family Dentistry PLLC (Distler Family Dentistry)
• Anthony Distler, DMD
• Christopher Distler, DPT

• Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physician Assistant in Kentucky

• 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.