Active NPI
Charles Simeon Harrison, M.D.,F.A.C.S.
- Surgery Physician
- Zanesville, OH
National Provider Identifier
1720159288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35-029677
- Practice address
- 716 Adair Ave
Zanesville, OH 43701-2836 - Phone
- (740) 891-9000
- Fax
- (740) 891-9001
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35-029677 | OH | Primary |
Addresses
Primary practice location
716 Adair Ave
Zanesville, OH 43701-2836
Mailing address
716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047523 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-029677 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1720159288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 ADAIR AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012836",
"telephone_number": "740-891-9000",
"fax_number": "740-891-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 ADAIR AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012836",
"telephone_number": "740-891-9000",
"fax_number": "740-891-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CHARLES",
"middle_name": "SIMEON",
"credential": "M.D.,F.A.C.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-029677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0047523",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.