DAVID J CLUTTER MD NPI 1700802634

NPI Information

NPI: 1700802634
Provider Name: DAVID J CLUTTER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
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David J Clutter, MD is a pediatrics in Fargo, ND. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. David J Clutter, MD NPI is 1700802634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8906

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	9323	NORTH DAKOTA	No
2	208000000X	Pediatrics	45703	MINNESOTA	No
3	208000000X	Pediatrics	5340	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ND100001	OTHER	NORTH DAKOTA	LHS #
2	27359CL	OTHER	NORTH DAKOTA	MNBS #
3	28732CL	OTHER	MINNESOTA	MNBS #
4	D25807	MEDICARE UPIN	NORTH DAKOTA
5	694882100	MEDICAID	NORTH DAKOTA
6	15305	MEDICAID	NORTH DAKOTA
7	92799CL	OTHER	NORTH DAKOTA	MNBS #
8	10424	OTHER	MINNESOTA	MNBS #
9	1201179	OTHER	NORTH DAKOTA	MEDICA #
10	DA9011015522	OTHER	NORTH DAKOTA	PREFERRED ONE #
11	2346	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
12	9601	OTHER	NORTH DAKOTA	SIOUX VALLEY #
13	379000347	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE #
14	379000346	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICARE #
15	142003	OTHER	NORTH DAKOTA	UCARE #
16	676556	OTHER	NORTH DAKOTA	AMERICA'S PPO/ARAZ #
17	49788CL	OTHER	MINNESOTA	MNBS #
18	713179	MEDICARE PIN	NORTH DAKOTA
19	1201796	OTHER	NORTH DAKOTA	MEDICA #
20	HP19524	OTHER	NORTH DAKOTA	HEALTHPARTNERS #
21	2346	OTHER	NORTH DAKOTA	NDBS #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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