Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Douglas Fish, DO

Individual provider Orthopaedic Surgery Physician · NPI 1548212368

Mark Douglas Fish, DO is an Orthopedic Surgery in Clive, Iowa. Qualified in 2001, 25 years ago. Practices with Knoxville Community Hospital Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Iowa and Indiana.

Years since qualifying
25
Licensed in
IA, IN
In the registry since
2006
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

12499 University Ave Ste 210
Clive, IA 50325-8288
Phone: (515) 440-2676
Fax: (515) 440-2677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 3790 (IA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 02003044A (IN)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 02003044A (IN)
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X · Licence 02003044A (IN)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 02003044A (IN)

Record details

NPI number1548212368
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 23, 2013
Mailing address12499 University Ave, Ste. 210, Clive, IA 50325-8288

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Knoxville Community Hospital Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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