SIXTY FOURTH STREET LLC
NPI 1164538286
Clinic/Center - Ambulatory Surgical in Byron Center, MI
NPI Status: Active since August 22, 2006
Contact Information
2373 64TH ST SW
SUITE 2200
BYRON CENTER, MI
ZIP 49315
Phone: (616) 685-3975
Fax: (616) 685-3977
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 23D1058632
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-10-2026
About SIXTY FOURTH STREET LLC
This page provides the complete NPI Profile along with additional information for Sixty Fourth Street Llc, a provider established in Byron Center, Michigan operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1164538286 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Andrew Livingston Md (Medical Director)
- NPI
- 1164538286
- Provider Name
- SIXTY FOURTH STREET LLC
- Entity Type
- Organization
- Location Address
- 2373 64TH ST SW SUITE 2200 BYRON CENTER, MI 49315
- Location Phone
- (616) 685-3975
- Location Fax
- (616) 685-3977
- Mailing Address
- 2373 64TH ST SW SUITE 2200 BYRON CENTER, MI 49315
- Mailing Phone
- (616) 685-3975
- Mailing Fax
- (616) 685-3977
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2006
- Last Update Date
- 04-23-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Corewell Health West Michigan Network - HMO
- MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Incision of tendon covering of finger
Release of wrist ligament using an endoscope
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
This service was performed 22 times for 14 patientsThis procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
This service was performed 30 times for 23 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1058632
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 11, 2024
- Certificate Expiration Date
- September 10, 2026
- Laboratory Director
- TIMOTHY HENNE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sixty Fourth Street Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SIXTY FOURTH STREET LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 5 | 3 | 8 | 2 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 10 | 3 | 16 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 0 + 3 + 1 + 6 + 2 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1164538286 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962455188 | NEIL COLEGROVE MD Individual | Family Medicine | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1619915196 | MARGARET ANN STAPF PA-C Individual | Physician Assistant | 2373 64TH ST SW STE 1200 BYRON CENTER, MI 49315 (616) 301-9347 |
| 1972529014 | ROBERT E RENEKER JR. MD Individual | Family Medicine | 2373 64TH ST SW STE 1200 BYRON CENTER, MI 49315 (616) 685-3910 |
| 1649298837 | STEPHEN DELAPP MD Individual | Family Medicine | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1770603466 | PROFESSIONAL FINANCIAL SERVICES Organization | Clinic/Center (Urgent Care) | 2373 64TH ST SW STE 1200 BYRON CENTER, MI 49315 (616) 643-3910 |
| 1114047487 | MR. BRIAN JAMES MULDER RPH Individual | Pharmacist | 2373 64TH ST SW SUITE 1100 BYRON CENTER, MI 49315 (616) 643-3950 |
| 1346361540 | MRS. AMANDA MARIE EARDLEY RPH Individual | Pharmacist | 2373 64TH ST SW SUITE 1100 BYRON CENTER, MI 49315 (616) 643-3950 |
| 1902025760 | PATRICK JAMES FITZGIBBON DO Individual | Family Medicine | 2373 64TH ST SW STE 1200 BYRON CENTER, MI 49315 (616) 685-3910 |
| 1790905214 | DR. JEFFERY LEE CHAMBERLAIN M.D. Individual | Family Medicine | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1033183371 | THOMAS B FOSTER MD Individual | Internal Medicine (Adolescent Medicine) | 2373 64TH ST SW STE 1300 GRAND RAPIDS, MI 49315 (616) 685-1350 |
| 1093149759 | SARA VANDERZWAAG NP Individual | Nurse Practitioner (Family) | 2373 64TH ST SW STE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1255357794 | THERESA K STARR CNM Individual | Advanced Practice Midwife | 2373 64TH ST SW STE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1801184247 | MR. ANDRE VINCENT HOLLINGSWORTH M.D. Individual | Internal Medicine | 2373 64TH ST SW BYRON CENTER, MI 49315 (616) 685-1350 |
| 1336502244 | EMILY ANNE RUSTICUS NP Individual | Nurse Practitioner (Family) | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1497102800 | CHAD MILLS SHELNER NP Individual | Nurse Practitioner (Family) | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1659636595 | ANGELA R ANDREWS MD Individual | Internal Medicine | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1669843785 | DANIEL MICHELS Individual | Nurse Anesthetist, Certified Registered | 2373 64TH ST SW SUITE 1300 BYRON CENTER, MI 49315 (616) 685-1350 |
| 1427135029 | TIMOTHY G PIPE PA Individual | Physician Assistant | 2373 64TH ST SW BYRON CENTER, MI 49315 (616) 685-1350 |
| 1235226424 | FAMILY PHARMACY-SW CAMPUS Organization | Pharmacy (Community/Retail Pharmacy) | 2373 64TH ST SW STE 1100 BYRON CENTER, MI 49315 (616) 685-3950 |
| 1578509303 | DR. JOHN H HEALEY JR. M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 2373 64TH ST SW BYRON CENTER, MI 49315 (616) 496-5591 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164538286, enumerated in the NPI registry as an "organization" on August 22, 2006
The provider is located at 2373 64th St Sw Suite 2200 Byron Center, Mi 49315 and the phone number is (616) 685-3975
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Incision of tendon covering of finger and Release of wrist ligament using an endoscope.
The provider's CLIA number is 23D1058632 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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