Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Robert Nathan, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1477723799

Dr. Charles Robert Nathan, MD is a Plastic and Reconstructive Surgery Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

845 N New Ballas Ct Ste 300
Saint Louis, MO 63141-7134
Phone: (314) 569-0130
Fax: (314) 569-3674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD110027 (MO)

Record details

NPI number1477723799
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2008
Last updated in NPPESFebruary 18, 2015
Mailing address17300 N. Outer 40 Rd, Suite 300, Chesterfield, MO 63005

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