DR. CHARLES R HARRISON (MD) – Gynecologic Oncology Physician, NPI 1245340223

Gynecologic Oncology Physician

DR. CHARLES R HARRISON (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in Gynecologic Oncology Physician. They hold the professional credentials MD. They hold a License No. CH070071 (MI). The NPI Number for DR. CHARLES R HARRISON (MD) is 1245340223

Main info

Male

49 Years Of Experience

Accepts Medicare Assignment

Name

DR. CHARLES R HARRISON (MD)

NPI

1245340223

Phone

(616) 486-6790

Address

100 MICHIGAN ST NE # MC845

Enumeration Date

30 August 2006

Last Update Date

1 July 2021

Doctor Profile

Medical School Name

VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE

Secondary Phone

Graduation Year

1977 (49 years ago)

PAC ID

0143301523

Group Practice PAC ID

4587568647

Professional Enrollment ID

I20080111000549

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES R HARRISON (MD)

100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone: (616) 486-6790
Type: Mailing
145, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
STE 6300
GRAND RAPIDS, MI 495032562
Phone: (616) 486-6000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4587568647View full group profile

Name	Specialty	State
FARRUKH SALIM CHAUDHRY (MD)	Critical Care (Intensivists)	IL
ALEXANDRA BENGEL (PA-C)	Physician Assistant	MI
MR. IAN EDWARD LEHMAN (PA-C)	Physician Assistant	MI
TABETHA EMILY BERGERON (PA-C)	Physician Assistant	MI
KELLY LYNN OUELLETTE (OT)	-	MI
ROBERT CUFF (MD)	Vascular Surgery	IL
MARSHA RAY (PA-C)	-	MI
LISA ANNE ANDERSSON-ZETYE (MD)	-	MI
MITESH J PATEL (MD)	A N E S T H E S I O L O G Y	TX
MRS. KIMBERLY ANN REYNOLDS (LMSW)	Clinical Social Worker	MI