1700882024 NPI number — DR. DAVID M FIGG M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700882024 NPI number — DR. DAVID M FIGG M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

FIGG

Provider First Name:

DAVID

Provider Middle Name:

M

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1700882024

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/11/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

100 MICHIGAN ST NE

Provider Second Line Business Mailing Address:

MC 845

Provider Business Mailing Address City Name:

GRAND RAPIDS

Provider Business Mailing Address State Name:

MI

Provider Business Mailing Address Postal Code:

49503-2560

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

3230 EAGLE PARK DR NE

Provider Second Line Business Practice Location Address:

SUITE 210

Provider Business Practice Location Address City Name:

GRAND RAPIDS

Provider Business Practice Location Address State Name:

MI

Provider Business Practice Location Address Postal Code:

49525-7007

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

616-456-8613

Provider Business Practice Location Address Fax Number:

616-456-8748

Provider Enumeration Date:

06/22/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208600000X , with the licence number:  033983 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 020D176410 . This is a "BLUECARE NETWORK GROUP" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 0985694 . This is a "HEALTHPLUS OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 382031033 . This is a "GREAT WEST LIFE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 382031033107 . This is a "COMMUNITY CHOICE MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 120708 . This is a "PREFERRED CHOICES" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1730092 . This is a "IBA HEALTH PLANS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 197359001 . This is a "CIGNA" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 0D17641004 . This is a "MEDICARE PLUS BLUE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 4013053 . This is a "AETNA" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 020003426 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1284258 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".