Individual provider Active NPI

Michael J Whitters, D.O.

  • Family Medicine Physician
  • Clarion, IA
National Provider Identifier
1073501714
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AW1611563 Issued in IA
Practice address
215 13TH Ave SW
Clarion, IA 50525-2078
Phone
(515) 532-2836
Fax
(515) 532-2523
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AW1611563 IA Primary

Addresses

Primary practice location

215 13TH Ave SW
Clarion, IA 50525-2078

Mailing address

PO Box 271
215 13TH Ave SW
Clarion, IA 50525-0271
Phone (515) 532-2836

Other identifiers 1

IdentifierTypeStateIssuer
5194357MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
01945IAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Holy Family CurrentSince Sep 1, 2018 Accepting new patients
Avera Holy Family Current Accepting new patients
Avera Holy Family CurrentSince Sep 1, 2018 Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Past Accepting new patients

Locations

926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

Interoperability endpoints

  • Direct secure messaging: michael.whitters@avera.sdhealthlink.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073501714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "address_2": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505250271",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252078",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTERS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "AW1611563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5194357",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.