Organization Active NPI

Dispatchhealth-Idaho PC

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1639752389
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
9100 Marksfield Rd
Louisville, KY 40222-5299
Phone
(303) 500-1518
NPI assigned
Apr 30, 2021
Organization subpart
Yes
Parent organization
DISPATCHHEALTH-IDAHO PCAs reported in NPPES

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

9100 Marksfield Rd
Louisville, KY 40222-5299

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Dispatchhealth-Idaho PC

Locations

9100 Marksfield Rd
Louisville, KY 40222
Phone (208) 268-8024

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1639752389",
    "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": "303-500-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISPATCHHEALTH-IDAHO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISPATCHHEALTH-IDAHO PC",
        "enumeration_date": "2021-04-30",
        "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 Louisville, KY

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.