Active NPI
Stacy Leilani Whitaker, DO
- Obstetrics & Gynecology Physician
- Ontario, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO150653
- Practice address
- 1050 SW 3Rd Ave Ste 3200
Ontario, OR 97914-4560 - Phone
- (541) 881-2325
- Fax
- (208) 914-6701
- NPI assigned
- Mar 23, 2007
- Last updated
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO150653 | OR | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 11323 | MT |
Addresses
Primary practice location
1050 SW 3Rd Ave Ste 3200
Ontario, OR 97914-4560
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
900 Sunset Dr
LA Grande, OR 97850-1362
Phone (541) 963-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grande Ronde Hospital Inc
Practice addresses (Care Compare)
2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 793-5920
601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11323 | MT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Wallowa County Health Care District | Current | Accepting new patients | |
| Wallowa County Health Care District | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients |
Locations
601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111
610 Sunset Dr
La Grande, OR 97850
Phone (541) 663-3175
710 Sunset Dr
Ste E
La Grande, OR 97850
Phone (541) 663-3150
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
Interoperability endpoints
- swhitaker834924@wm.providencedirect.org
- swhitaker834962@oc.providencedirect.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Grande Ronde Hospital Inc | Hospital | Corporate Director | Jan 1, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Grande Ronde Hospital
- Medicare Defined Swing Bed Hospital Unit
- La Grande, OR
- NPI 1609980655
Corporate Director
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
Corporate Director
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wallowa Memorial Hospital
- Critical Access Hospital Clinic/Center
- Enterprise, OR
- NPI 1447256250
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
dba Grande Ronde Hospital Urgent Care
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
-
dba Wallowa Memorial Medical Clinic - Downtown
- Rural Health Clinic/Center
- Enterprise, OR
- NPI 1295338333
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grande Ronde Hospital Childrens Clinic
- Pediatrics Physician
- La Grande, OR
- NPI 1861434615
Hospital
-
dba Grande Ronde Hospital Womens Clinic
- Obstetrics & Gynecology Physician
- La Grande, OR
- NPI 1972545895
Hospital
-
dba Grande Ronde Hospital Internal Medicine Clinic
- Primary Care Clinic/Center
- La Grande, OR
- NPI 1174553929
Hospital
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1316064512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SW 3RD AVE STE 3200",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979144560",
"telephone_number": "541-881-2325",
"fax_number": "208-914-6701"
}
],
"practiceLocations": [
{
"address_1": "900 Sunset Dr",
"address_purpose": "LOCATION",
"city": "LA Grande",
"state": "OR",
"postal_code": "978501362",
"country_code": "US",
"telephone_number": "541-963-1883",
"fax_number": "541-963-1837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITAKER",
"first_name": "STACY",
"middle_name": "LEILANI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "DO150653",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "11323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.