Active NPI 1548212368 Individual Practitioner Male Practitioner

Dr. Mark Douglas Fish , DO

Orthopaedic Surgery • Clive, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Fish, DO is a certified Orthopaedic Surgery practicing in Clive, IA. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Fish delivers high-quality medical care to the local community at 12499 UNIVERSITY AVE.

Dr. Fish maintains professional affiliations with Broadlawns Medical Center, Capital Orthopaedics And Sports Medicine Pc, Knoxville Community Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, x-ray of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12499 University Ave
Ste. 210

Clive, IA 503258288

Telephone 5154402676

Fax 5154402677

Associated Practice Facility / Clinic

🏢 West Lakes Surgery Center Llc Facility NPI 1104933696

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Clive, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +9.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Clive, IA (271 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fish (25 Years) 25 Yrs

Clive Specialty Average (15.7 Years) 15.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	322	124	$15.00	$6.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	171	$287.70	$116.93
99213 Established patient office or other outpatient visit, typically 15 minutes	153	129	$195.00	$82.80
73564 X-ray of knee, 4 or more views	146	115	$129.88	$42.40
20610 Aspiration and/or injection of fluid from large joint	144	120	$284.28	$63.55
73501 X-ray of hip with pelvis, 1 view	100	78	$107.57	$29.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$432.00	$152.32
73030 X-ray of shoulder, minimum of 2 views	86	70	$110.00	$30.91
73562 X-ray of knee, 3 views	61	51	$115.00	$36.92
27447 Replacement of knee joint, both sides of knee	50	49	$3541.00	$1146.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$353.00	$102.41
23472 Prosthetic repair of shoulder joint, total shoulder	29	28	$3804.00	$1290.64
73221 Mri scan of arm joint without contrast	28	28	$654.43	$138.33
72148 MRI scan of lower spinal canal	25	25	$543.44	$119.24
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$4890.00	$1091.79
73721 Mri scan of leg joint without contrast	19	19	$831.05	$141.95
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	17	$266.67	$95.34
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	17	17	$35.00	$17.62
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$1751.00	$253.96
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$460.00	$152.02
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1624.00	$112.44
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2776.00	$960.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	292	111	$15.00	$6.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	168	$287.00	$118.31
99213 Established patient office or other outpatient visit, typically 15 minutes	143	114	$195.00	$81.17
73564 X-ray of knee, 4 or more views	124	97	$129.00	$42.86
20610 Aspiration and/or injection of fluid from large joint	121	96	$295.04	$63.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$432.00	$150.30
73030 X-ray of shoulder, minimum of 2 views	90	74	$110.00	$30.82
73501 X-ray of hip with pelvis, 1 view	85	65	$108.00	$30.29
73562 X-ray of knee, 3 views	83	66	$115.00	$36.57
27447 Replacement of knee joint, both sides of knee	54	47	$3541.00	$1139.57
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	47	46	$255.32	$94.29
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	34	34	$35.00	$17.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$353.00	$103.30
73221 Mri scan of arm joint without contrast	24	23	$651.13	$134.54
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$460.00	$149.76
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$4890.00	$1162.10
72148 MRI scan of lower spinal canal	20	20	$550.80	$130.29
29824 Partial removal of collar bone at shoulder using an endoscope	20	20	$1751.00	$203.91
29823 Removal of extensive shoulder joint tissue using an endoscope	19	19	$1624.00	$134.96
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$2776.00	$925.12
73721 Mri scan of leg joint without contrast	14	14	$817.14	$137.27
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	14	11	$1021.00	$704.73
29880 Removal of both knee cartilages using an endoscope	12	12	$1466.00	$389.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	271	103	$15.00	$6.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	164	$287.31	$118.17
99213 Established patient office or other outpatient visit, typically 15 minutes	142	115	$195.00	$82.89
73564 X-ray of knee, 4 or more views	121	105	$129.00	$42.92
20610 Aspiration and/or injection of fluid from large joint	118	94	$288.42	$65.62
73501 X-ray of hip with pelvis, 1 view	103	77	$108.00	$30.38
73030 X-ray of shoulder, minimum of 2 views	88	63	$110.00	$31.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$432.00	$151.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$353.00	$104.87
73562 X-ray of knee, 3 views	65	53	$116.77	$38.14
27447 Replacement of knee joint, both sides of knee	59	57	$3541.00	$1176.54
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	49	48	$35.00	$16.87
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	33	32	$240.00	$90.95
27130 Replacement of thigh bone and hip joint with prosthesis	31	30	$4890.00	$1174.52
73221 Mri scan of arm joint without contrast	24	23	$658.83	$133.10
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	19	11	$1021.00	$759.75
73721 Mri scan of leg joint without contrast	19	18	$820.53	$137.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	18	$460.00	$150.03
29824 Partial removal of collar bone at shoulder using an endoscope	19	18	$1751.00	$250.24
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$2776.00	$931.83
72148 MRI scan of lower spinal canal	12	12	$529.33	$119.02
29880 Removal of both knee cartilages using an endoscope	11	11	$1489.27	$225.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	297	117	$15.00	$6.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	174	$286.56	$121.06
99213 Established patient office or other outpatient visit, typically 15 minutes	180	136	$195.00	$83.66
20610 Aspiration and/or injection of fluid from large joint	116	106	$287.24	$63.71
73564 X-ray of knee, 4 or more views	111	87	$129.00	$41.80
73030 X-ray of shoulder, minimum of 2 views	101	76	$111.09	$30.70
73501 X-ray of hip with pelvis, 1 view	98	76	$108.00	$29.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$351.57	$105.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$432.00	$155.26
73562 X-ray of knee, 3 views	61	49	$115.00	$37.07
27447 Replacement of knee joint, both sides of knee	51	47	$3541.00	$1196.23
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	38	34	$258.95	$94.05
73221 Mri scan of arm joint without contrast	37	36	$633.00	$145.08
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	33	31	$35.00	$17.24
27130 Replacement of thigh bone and hip joint with prosthesis	28	26	$4890.00	$1197.47
73721 Mri scan of leg joint without contrast	20	20	$672.70	$141.58
29824 Partial removal of collar bone at shoulder using an endoscope	18	18	$1751.00	$271.06
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$460.00	$141.71
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$2776.00	$871.66
72148 MRI scan of lower spinal canal	13	12	$528.15	$135.27
29880 Removal of both knee cartilages using an endoscope	12	12	$1466.00	$525.90
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$3804.00	$1350.76
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1624.00	$107.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	272	109	$56.19	$6.95
99213 Established patient office or other outpatient visit, typically 15 minutes	181	138	$193.44	$69.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	142	$286.66	$102.16
20610 Aspiration and/or injection of fluid from large joint	114	101	$271.40	$60.62
73564 X-ray of knee, 4 or more views	94	77	$129.00	$40.30
73501 X-ray of hip with pelvis, 1 view	84	71	$108.00	$29.29
73562 X-ray of knee, 3 views	75	60	$115.00	$35.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$346.94	$99.10
73030 X-ray of shoulder, minimum of 2 views	65	54	$111.69	$30.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$424.77	$149.59
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	47	45	$28.36	$16.50
27447 Replacement of knee joint, both sides of knee	45	45	$3554.78	$1230.84
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	28	26	$242.29	$86.51
27130 Replacement of thigh bone and hip joint with prosthesis	23	21	$4743.30	$1278.70
73221 Mri scan of arm joint without contrast	18	17	$1175.83	$198.55
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$3993.41	$1367.10
72148 MRI scan of lower spinal canal	15	14	$1392.80	$193.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	612	140	$33.97	$6.72
99213 Established patient office or other outpatient visit, typically 15 minutes	253	195	$185.85	$69.02
73562 X-ray of knee, 3 views	200	143	$123.05	$36.32
20610 Aspiration and/or injection of fluid from large joint	157	130	$264.19	$57.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	135	$277.21	$100.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$285.75	$100.24
73030 X-ray of shoulder, minimum of 2 views	85	70	$112.59	$27.61
27447 Replacement of knee joint, both sides of knee	65	61	$4462.45	$1227.98
73502 X-ray of hip, 2-3 views	54	49	$125.00	$38.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$424.60	$151.33
73564 X-ray of knee, 4 or more views	29	22	$146.79	$43.30
27130 Replacement of thigh bone and hip joint with prosthesis	25	24	$4869.16	$1207.51
73501 X-ray of hip with pelvis, 1 view	22	21	$108.00	$26.95
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	21	$242.91	$85.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$1292.00	$163.01
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$4316.11	$1349.11
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$2027.32	$254.31
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$3574.35	$984.50
73221 Mri scan of arm joint without contrast	17	16	$1574.00	$168.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	840	158	$15.00	$7.02
99213 Established patient office or other outpatient visit, typically 15 minutes	331	232	$182.00	$67.72
73562 X-ray of knee, 3 views	221	169	$115.52	$32.86
20610 Aspiration and/or injection of fluid from large joint	183	152	$279.62	$59.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	122	$273.00	$100.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$271.00	$97.05
73030 X-ray of shoulder, minimum of 2 views	105	81	$120.48	$29.21
73502 X-ray of hip, 2-3 views	78	72	$125.00	$37.01
27447 Replacement of knee joint, both sides of knee	67	66	$4890.00	$1233.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$108.00	$40.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$420.00	$153.63
27130 Replacement of thigh bone and hip joint with prosthesis	30	29	$4890.00	$1216.03
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	28	28	$248.00	$82.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$1500.00	$159.00
29824 Partial removal of collar bone at shoulder using an endoscope	21	21	$2101.00	$209.45
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$3820.00	$983.92
73221 Mri scan of arm joint without contrast	18	17	$1574.00	$151.79
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	16	16	$2205.00	$607.38
23472 Prosthetic repair of shoulder joint, total shoulder	15	15	$4742.00	$1350.50
73721 Mri scan of leg joint without contrast	15	15	$1635.00	$148.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,072	201	$15.00	$6.64
99213 Established patient office or other outpatient visit, typically 15 minutes	366	266	$182.00	$67.32
73562 X-ray of knee, 3 views	254	185	$121.79	$34.10
20610 Aspiration and/or injection of fluid from large joint	229	187	$280.61	$57.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$271.00	$98.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	112	$273.00	$98.25
73502 X-ray of hip, 2-3 views	100	79	$125.00	$37.12
73030 X-ray of shoulder, minimum of 2 views	85	70	$113.88	$27.39
27447 Replacement of knee joint, both sides of knee	73	66	$4776.14	$1194.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$108.00	$40.27
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	38	38	$254.53	$85.01
27130 Replacement of thigh bone and hip joint with prosthesis	36	33	$4827.19	$1174.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$420.00	$153.00
23472 Prosthetic repair of shoulder joint, total shoulder	23	21	$4560.35	$1206.24
29824 Partial removal of collar bone at shoulder using an endoscope	17	16	$2101.00	$260.57
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	16	$1500.00	$163.59
73721 Mri scan of leg joint without contrast	17	16	$1635.00	$151.37
29880 Removal of both knee cartilages using an endoscope	15	15	$2484.00	$518.07
29827 Repair of shoulder rotator cuff using an endoscope	14	13	$3820.00	$981.05
73221 Mri scan of arm joint without contrast	12	12	$1574.00	$151.59
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$2038.00	$152.87

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IA 3790

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IN 02003044A

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NUCC Taxonomy Code: 207XS0114X

State License IN 02003044A

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Orthopaedic Surgery - Foot and Ankle Surgery

NUCC Taxonomy Code: 207XX0004X

State License IN 02003044A

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License IN 02003044A

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

000000480577 (IN)

Commercial Insurance / Payer ID Rr Medicare

P00325521 (IN)

Commercial Insurance / Payer ID Aetna

7305819 (IN)

Commercial Insurance / Payer ID Dme

4178250001 (IN)

Commercial Insurance / Payer ID Siho

075965 (IN)

Commercial Insurance / Payer ID United Health Care

2655165 (IN)

Hospital & Practice Group Affiliations

Capital Orthopaedics And Sports Medicine Pc

12499 University Ave, Clive, IA 503258288

Phone: 5154402676

Broadlawns Medical Center

1801 Hickman Rd, Des Moines, IA 503141548

Phone: 5152822200

Knoxville Community Hospital Inc

1202 W Howard St, Knoxville, IA 501383103

Phone: 6418287211

Practice Associates & Co-Workers

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

15 Associated Practitioners

Erica Tucker , PA-C

Physician Assistant - Surgical

NPI 1134921323

Physician Assistant (Certified)

Betsy Bolton , PA-C

Physician Assistant - Surgical

NPI 1144574997

Physician Assistant (Certified)

Logan Driscoll

Physician Assistant

NPI 1184264921

Dr. Brian Crites , MD

Orthopaedic Surgery

NPI 1235155847

Doctor of Medicine (M.D.)

Dr. Ross Doehrmann , DO

Orthopaedic Surgery

NPI 1255869103

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Lee , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1366407827

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2013

Registered at 12499 UNIVERSITY AVE, STE. 210, CLIVE, IA 503258288 (Tel: 5154402676)

📍

Updated Business Mailing Address January 23, 2013

Registered at 12499 UNIVERSITY AVE, STE. 210, CLIVE, IA 503258288 (Tel: 5154402676)

👤

Provider Name / Credentials Updated January 23, 2013

Recorded as MARK FISH, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Orthopaedic Surgery (License #3790 in IA)

🟢

Initial NPI Registration & Enumeration May 17, 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: 1548212368

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2006

Last Update: January 23, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12499 University Ave, Ste. 210

Clive, IA 503258288

Phone: 5154402676

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.