Active NPI
Andrew J Livingston, M.D. F.A.C.S
- Surgery of the Hand (Surgery) Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 4301061751
- Practice address
- 2060 East Paris Ave SE
#110
Grand Rapids, MI 49546 - Phone
- (616) 464-4665
- Fax
- (616) 957-1845
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 4301061751 | MI | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 4301061751 | MI |
Addresses
Primary practice location
2060 East Paris Ave SE
#110
Grand Rapids, MI 49546
Mailing address
2060 East Paris Ave SE
#110
Grand Rapids, MI 49546
Phone (616) 464-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4694901 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Michigan Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1774
100 Michigan St Northeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2560
Phone (616) 391-1774
2060 E Paris Ave SE
Suite 100a
Grand Rapids, MI 49546-6113
Phone (616) 464-4665
275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone (616) 391-3777
Hospital & facility affiliations
- Spectrum Health
- Mercy Health Saint Mary'S
- Mary Free Bed Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 17 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Plastic Surgery Specialists, PLLC | Current | Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Hand & Plastic Surgery Centre PLC | Surgery of the Hand | Past | Accepting new patients |
| Rehabilitation Medicine Associates,PLC | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
2060 East Paris Ave SE
Ste 100A
Grand Rapids, MI 49546
Phone (616) 464-4665
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
221 Michigan St NE
Ste 200
Grand Rapids, MI 49503
Phone (616) 391-8635
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
245 State St SE
Ste 1A
Grand Rapids, MI 49503
275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900
2060 East Paris Ave SE
Ste 110
Grand Rapids, MI 49546
Phone (616) 464-4665
330 Barclay Ave NE
Ste 104
Grand Rapids, MI 49503
Phone (616) 267-9823
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Grand Rapids, MI
- NPI 1194979039
-
- Hospitalist Physician
- Grand Rapids, MI
- NPI 1558407189
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
- Surgery of the Hand (Surgery) Physician
- Grand Rapids, MI
- NPI 1245394576
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1548379571
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
Inpatient rehabilitation facility
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1689624017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 EAST PARIS AVE SE",
"address_2": "#110",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-464-4665",
"fax_number": "616-957-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 EAST PARIS AVE SE",
"address_2": "#110",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-464-4665",
"fax_number": "616-957-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "M.D. F.A.C.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "MI",
"license": "4301061751",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "4301061751",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4694901",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.