Charles Robert Nathan, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD110027 Issued in MO

Practice address

845 N New Ballas CT
Suite 300
Saint Louis, MO 63141-7134

Phone

(314) 569-0130

Fax

(314) 569-3674

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Parkcrest Plastic Surgery

  • Specialist
  • Saint Louis, MO
  • NPI 1487758678
  NPD (past)
• Parkcrest Plastic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Saint Louis, MO
  • NPI 1073676755
  NPD (past)
• St Louis Cosmetic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Chesterfield, MO
  • NPI 1205023405
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1477723799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N. OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63005",
            "telephone_number": "636-530-6161",
            "fax_number": "636-777-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "314-569-0130",
            "fax_number": "314-569-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "CHARLES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "MD110027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "240007092",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Robert Nast, DO
• Lahoma Nasym
• Kirmach Natani, PHD
• Ramya Natarajan
• Dilip Sri Nath, MD
• Christopher Nation, CNMT
• National Anesthesia Partners LLC
• National Benefits Xchange Transportation LLC
• National Diagnostics Inc
• National Health Monitoring System, LLC

• Plastic and Reconstructive Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Plastic and Reconstructive Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.