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Mark Douglas Fish

Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon and 1 more

12499 University Ave Ste. 210
Clive , Iowa 50325-8288

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Orthopaedic Surgeon
  • Adult Reconstructive Orthopaedic Surgeon
  • Foot and Ankle Orthopaedic Surgeon
  • Sports Medicine Orthopaedic Surgeon

Languages spoken

  • English

Location

12499 University Ave Ste. 210 Clive , Iowa 50325-8288

First Address

  • Mark Douglas Fish
  • 12499 University Ave Ste. 210
  • Clive, IA
  • Zip : 50325-8288
  • Fax : (515) 440-2677
  • Phone : (515) 440-2676

Second Address

  • Mark Douglas Fish
  • 12499 University Ave Ste. 210
  • Clive, IA
  • Zip : 50325-8288
  • Fax : (515) 440-2677
  • Phone : (515) 440-2676

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FAQs


Where did Mark Douglas Fish attend graduate school?

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Where did Mark Douglas Fish do his residency?

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Where did Mark Douglas Fish do his fellowship?

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Is Mark Douglas Fish board certified?

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What type of doctor is Mark Douglas Fish

Orthopaedic Surgeon

In what state does Mark Douglas Fish practice in?

Iowa

Where is Mark Douglas Fish ’s practice located?

12499 University Ave Ste. 210 , Clive, Iowa, 50325-8288

What is Mark Douglas Fish ’s gender?

Male

Is Mark Douglas Fish a sole practitioner?

No

Is Mark Douglas Fish accepting new patients?

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What languages does Mark Douglas Fish speak?

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Does Mark Douglas Fish accept insurance?

Yes, Mark Douglas Fish accepts insurance

Does Mark Douglas Fish offers telemedicine?

Mark Douglas Fish has not indicated if he offers telemedicine

What is Mark Douglas Fish ’s professional license number?

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What is Mark Douglas Fish ’s NPI number?

1548212368

Does Mark Douglas Fish have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207X00000X Orthopaedic Surgeon 02003044A IN
Y 207X00000X Orthopaedic Surgeon 3790 IA
N 207XS0114X Adult Reconstructive Orthopaedic Surgeon 02003044A IN
N 207XX0004X Foot and Ankle Orthopaedic Surgeon 02003044A IN
N 207XX0005X Sports Medicine Orthopaedic Surgeon 02003044A IN

National Provider Identifier

NPI 1548212368
Provider Name Mark Douglas Fish
First Address Clive, IA 50325-8288
Second Address Clive, IA 50325-8288
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/05/2006
Last Update Date 23/01/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000480577 BCBS (01) IN
075965 SIHO (01) IN
2655165 UNITED HEALTH CARE (01) IN
4178250001 DME (01) IN
7305819 AETNA (01) IN
I52359 (02)
P00325521 RR MEDICARE (01) IN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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