Dispatch Health Idaho PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DISPATCH HEALTH IDAHO PC

Practice address

9100 Marksfield Rd
Louisville, KY 40222-5299

Phone

(208) 268-8024

NPI assigned

Oct 21, 2021

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 2

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.

• Dispatchhealth-Idaho PC

  • Physician Assistant
  • Louisville, KY
  • NPI 1578294534
  NPD tax ID

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1801559265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053339"
        },
        {
            "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": "DISPATCH HEALTH IDAHO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "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": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner 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.