Individual provider Active NPI

Nathan D. Whittaker, M.D.

  • Emergency Medicine Physician
  • Kemmerer, WY
National Provider Identifier
1740459338
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301088085 Issued in MI
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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Hospital, Kemmerer, WY, CCN 531315
  • South Lincoln Medical Center - Cah Nursing home, CCN 53Z315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4301088085MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Hospital District Emergency Medicine Current Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients
South Lincoln Hospital District CurrentSince Dec 1, 2023 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
South Lincoln Hospital District CurrentSince Dec 1, 2023 Accepting new patients
South Lincoln Hospital District Current Accepting new patients
Rocky Mountain Emergency Specialists LLC Emergency Medicine CurrentSince Aug 10, 2009 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

  • FHIR API: https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nathan.whittaker.1@16971.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4756787-1205 UT
Emergency Medicine Physician 207P00000X 4301088085 MI Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.