Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700802634 Individual Practitioner Male Practitioner

Dr. David J Clutter , MD

Pediatrics • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. David Clutter, MD is a registered healthcare professional specializing in Pediatrics in Fargo, ND. Practice services are available at 1702 UNIVERSITY DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1702 University Dr S

Fargo, ND 581034940

Telephone 7013643300
Fax 7013648906
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1740231182

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Fargo, ND (117 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ND 5340

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License ND 9323

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MN 45703

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
694882100 (ND)
Medicaid State Provider ID
15305 (ND)
Commercial Insurance / Payer ID Sioux Valley #
9601 (ND)
Commercial Insurance / Payer ID Mnbs #
28732CL (MN)
Commercial Insurance / Payer ID Preferred One #
DA9011015522 (ND)
Commercial Insurance / Payer ID Mnbs #
27359CL (ND)
Commercial Insurance / Payer ID Healthpartners #
HP19524 (ND)
Commercial Insurance / Payer ID Lhs #
ND100001 (ND)
Commercial Insurance / Payer ID Medica #
1201179 (ND)
Commercial Insurance / Payer ID Medica #
1201796 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bangalore Vijayalakshmi , MD

Physical Medicine & Rehabilitation

NPI 1003843574

Doctor of Medicine (M.D.)

Dr. David Carlson , MD

Internal Medicine

NPI 1013947100

Doctor of Medicine (M.D.)

Dr. Robert Renschler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023363587

Doctor of Podiatric Medicine

NPI 1033134374

Doctor of Optometry

NPI 1033430780

Doctor of Medicine (M.D.)

Dr. Bess Martin , PhD, LP

Clinical Neuropsychologist

NPI 1043415318

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2012

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013643300)

📍
Updated Business Mailing Address April 18, 2012

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

👤
Provider Name / Credentials Updated April 18, 2012

Recorded as DAVID CLUTTER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2012

Pediatrics (License #5340 in ND)

🟢
Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700802634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2006
Last Update: April 18, 2012
Sole Proprietor: No

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7013643300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.