Charles Ettelson, M.D.
NPI 1255332904 · Plastic and Reconstructive Surgery Physician · Saint Louis, MO
Charles Ettelson, M.D. is a Plastic and Reconstructive Surgery Physician provider in Saint Louis, MO (NPI 1255332904).
Provider details
- NPI number
- 1255332904
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- R9446 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-03
- Last updated
- 2013-07-02
Frequently asked questions
- What is Charles Ettelson's NPI number?
- Charles Ettelson's National Provider Identifier (NPI) is 1255332904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Ettelson's specialty?
- Charles Ettelson is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Ettelson located?
- Charles Ettelson's practice location on file with NPPES is 730 Audubon Dr, Saint Louis, MO 63105-2906.
- What is Charles Ettelson's phone number?
- The practice phone number listed in the NPPES registry for Charles Ettelson is (314) 324-7605.
- Is Charles Ettelson's NPI active?
- Yes — Charles Ettelson's NPI (1255332904) is active in the NPPES registry as of the last update on 2013-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.