Active NPI
Thomas Carlyle Whittaker, M.D.
- Family Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6061605-1205
- Practice address
- 8TH Ave and C St
Salt Lake City, UT 84143-2822 - Phone
- (801) 408-5480
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6061605-1205 | UT | Primary |
Addresses
Primary practice location
8TH Ave and C St
Salt Lake City, UT 84143-2822
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
4745 S 3200 W
Salt Lake City, UT 84118-2822
Phone (801) 964-6214
Other names 1
- Dr. T Carl Whittaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Georgetown University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 S 200
Suite B
Salt Lake City, UT 84111-3802
Phone (801) 539-8617
8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-3446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Community Health Centers, Inc. | Family Medicine | Past | Accepting new patients |
Locations
980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
610 S 200 E
Ste B
Salt Lake City, UT 84111
Phone (801) 539-8617
1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750
1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360
4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214
440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441
2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614
4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405
1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986
Interoperability endpoints
- thomas.whittaker@chcsl.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/ACFCAA
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- West Valley City, UT
- NPI 1952505117
Family Medicine
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Federally Qualified Health Center (FQHC)
- Midvale, UT
- NPI 1073611364
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Salt Lake City, UT
- NPI 1316421761
Family Medicine
-
- Family Medicine Physician
- Provo, UT
- NPI 1841559648
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Federally Qualified Health Center (FQHC)
- Taylorsville, UT
- NPI 1801992953
Family Medicine
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": "1746403200000",
"number": "1770600918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8TH AVE AND C ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841432822",
"telephone_number": "801-408-5480"
}
],
"practiceLocations": [
{
"address_1": "4745 S 3200 W",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841182822",
"country_code": "US",
"telephone_number": "801-964-6214",
"fax_number": "801-982-9232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTAKER",
"first_name": "THOMAS",
"middle_name": "CARLYLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "6061605-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "T",
"last_name": "WHITTAKER",
"middle_name": "CARL",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.