Active NPI
Nathan D. Whittaker, M.D.
- Emergency Medicine Physician
- Kemmerer, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301088085
- Practice address
- 711 Onyx St
Kemmerer, WY 83101-3214 - Phone
- (307) 877-4401
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Kemmerer, WY
- NPI 1033221569
Emergency Medicine, WY
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
Emergency Medicine, UT
-
- Emergency Medicine Physician
- Logan, UT
- NPI 1225078736
Emergency Medicine, UT
-
- Urgent Care Clinic/Center
- Kemmerer, WY
- NPI 1467939918
-
- Medicare Defined Swing Bed Hospital Unit
- Kemmerer, WY
- NPI 1881834927
-
- Medicare Defined Swing Bed Hospital Unit
- Malad, ID
- NPI 1568414167
-
- Rural Health Clinic/Center
- Kemmerer, WY
- NPI 1386716710
-
- Institutional Pharmacy
- Kemmerer, WY
- NPI 1700910411
-
- Multi-Specialty Clinic/Center
- Kemmerer, WY
- NPI 1861027369
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1750488433
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Kemmerer, WY
- NPI 1881834927
Nursing home
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 N 200
Malad City, ID 83252-1239
Hospital & facility affiliations
- South Lincoln Medical Center - Cah
- South Lincoln Medical Center - Cah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090923000845 | UT | Practitioner - Emergency Medicine | 4789752437 | Reassigns benefits to 2 organizations |
| I20231214003045 | WY | Practitioner - Emergency Medicine | 4789752437 | Reassigns benefits to 2 organizations |
| I20260121003526 | ID | Practitioner - Emergency Medicine | 4789752437 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088085 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lincoln Hospital District | Emergency Medicine | Current | Accepting new patients |
| Oneida County Hospital | Current | Accepting new patients | |
| Oneida County Hospital | Current | Accepting new patients | |
| South Lincoln Hospital District | Current | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| South Lincoln Hospital District | Current | Accepting new patients | |
| South Lincoln Hospital District | Current | Accepting new patients | |
| Rocky Mountain Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| South Lincoln Hospital District | Past | Accepting new patients | |
| Associates for Inpatient Medicine, LLC | Past | Accepting new patients | |
| South Lincoln Hospital District | Past | Accepting new patients | |
| South Lincoln Hospital District | Past | Accepting new patients |
Locations
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401
Interoperability endpoints
- https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4
- nathan.whittaker.1@16971.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4756787-1205 | UT | |
| Emergency Medicine Physician | 207P00000X | 4301088085 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
711 Onyx St
Kemmerer, WY 83101-3214
Mailing address
4440 Snowbell Dr
Saginaw, MI 48603-8008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2026.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1740459338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 SNOWBELL DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486038008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 ONYX ST",
"city": "KEMMERER",
"state": "WY",
"postal_code": "831013214",
"telephone_number": "307-877-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTAKER",
"first_name": "NATHAN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "UT",
"license": "4756787-1205",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301088085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kemmerer, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.