Provider Demographics
NPI:1043261324
Name:FIGGE, DAVID P (ARNP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:P
Last Name:FIGGE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 POPLAR LEVEL RD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1395
Mailing Address - Country:US
Mailing Address - Phone:502-636-7845
Mailing Address - Fax:502-636-8045
Practice Address - Street 1:315 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1703
Practice Address - Country:US
Practice Address - Phone:502-629-2500
Practice Address - Fax:502-629-3166
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3611P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78013521Medicaid
KY000000330105OtherANTHEM PROVIDER NO.
KY50004961OtherPASPORT PROVIDER NO.
KYP00158534OtherRAILROAD MEDICARE
KY50004961OtherPASPORT PROVIDER NO.
KYP00158534OtherRAILROAD MEDICARE
P55491Medicare UPIN
KY78013521Medicaid