Provider Demographics
NPI:1205806858
Name:FIGG, RYAN E (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:E
Last Name:FIGG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4100 LAKE DR SE
Practice Address - Street 2:SUITE 205
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8292
Practice Address - Country:US
Practice Address - Phone:616-267-7100
Practice Address - Fax:616-267-7102
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301076419208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0985694OtherHEALTHPLUS OF MI HMO
MI1430030OtherIBA HEALTH PLANS
MI0D17641006OtherMEDICARE PLUS BLUE
MI7795802OtherAETNA
MI382031033OtherCOMMUNITY CHOICE MICHIGAN
MI143008OtherPREFERRED CHOICES
MI5577332OtherCIGNA
MI020D176410OtherBLUECARE NETWORK GROUP
MI382031033OtherGREAT WEST LIFE
MI4864340Medicaid
MI1430030OtherIBA HEALTH PLANS
MI382031033OtherCOMMUNITY CHOICE MICHIGAN