Healthcare Provider Details

I. General information

NPI: 1033535216
Provider Name (Legal Business Name): JONATHAN ANDREW FIGG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W BROADWAY AVE SUITE 108
JACKSON WY
83001-8213
US

IV. Provider business mailing address

PO BOX 10699
JACKSON WY
83002-0699
US

V. Phone/Fax

Practice location:
  • Phone: 307-264-5828
  • Fax: 307-939-2215
Mailing address:
  • Phone: 307-264-5828
  • Fax: 307-939-2215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number11143A
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA164977
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11143A
License Number StateWY
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11143A
License Number StateWY
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME141324
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD463378
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number11143A
License Number StateWY
# 8
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number299843
License Number StateNY
# 9
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT5736
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number11143A
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: