Charlene Tennyson, MD

Individual Active
NPI 1205669819
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Grand Rapids, MI

Charlene Tennyson, MD holds NPI 1205669819, with a primary taxonomy of thoracic surgery (cardiothoracic vascular surgery) physician and a practice location in Grand Rapids, MI. The number was issued on August 21, 2024 and the NPPES record was last updated on October 27, 2025.

Taxonomies and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X 4352001221 (MI)

Practice location

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 391-2802

Local context

Active NPPES records list 38 providers with thoracic surgery (cardiothoracic vascular surgery) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 294 in Michigan and 8,132 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Nearby providers with the same primary taxonomy

Record history

Name on record
Charlene Tennyson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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