CHARLES ETTELSON (NPI# 1598165375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598165375 |
| Entity Type | Individual |
| Full Name | CHARLES ETTELSON |
| Credential | PA-C |
| Practice Address |
1601 E 19th Ave Ste 3300 Denver CO 80218-1239 |
| Mailing Address |
2045 N Franklin St Denver CO 80205-5437 |
| Practice Telephone | 3038370072 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.0004077 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 83875344 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 027032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332904 | Charles David Ettelson | Surgery | 730 Audubon Dr, Saint Louis, MO 63105-2906 | 2005-08-03 |
| Street Address |
1601 E 19TH AVE STE 3300 |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760423586 | Kareem G. Sobky | Orthopaedic Surgery | 1601 E 19th Ave Ste 3300, Denver, CO 80218 | 2006-06-10 |
| 1720431752 | Katherine Virginia Senkosky | Physician Assistant | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2016-07-14 |
| 1679957211 | Scott R Smith | Physician Assistant | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2015-07-14 |
| 1427484989 | Teresa C Rodriguez | Physician Assistant | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2013-09-16 |
| 1669734521 | Bridget Ann Vanboxtel | Physician Assistant | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2012-06-15 |
| 1508032293 | Daniel Macht Lerman | Orthopaedic Surgery | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2008-05-02 |
| 1215007729 | Cindy Leeann Hayes | Physician Assistant | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2006-11-09 |
| 1821029562 | Mark S Tuttle | Orthopaedic Surgery | 1601 E 19th Ave Ste 3300, Denver, CO 80218-1239 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1174917405 | Depeche Assisting, PC | Physician Assistant | 700 Colorado Blvd Ste 115, Denver, CO 80206-4084 | 2015-03-25 |
| 1609281864 | Dayana Olivares | Physician Assistant | 1960 N Ogden St Ste 690, Denver, CO 80218-3673 | 2014-06-26 |
| 1457632697 | Rose Gabrielle Christensen | Physician Assistant | 1830 Franklin St Ste 450, Denver, CO 80218-1128 | 2011-09-01 |
| 1538459391 | Simmons Surgical Services LLC | Physician Assistant | 8007 E Lehigh Dr, Denver, CO 80237-1534 | 2011-04-13 |
| 1962718841 | Justin M Call | Physician Assistant | 1721 E 19th Ave Ste 434, Denver, CO 80218-1242 | 2010-08-30 |
| 1043337736 | Lynn Cameron Zollin | Physician Assistant | 1521 Pontiac St, Denver, CO 80220-1827 | 2007-03-26 |
| 1083746986 | Gregory J. Engelken | Physician Assistant | 950 E Harvard Ave Ste 550, Denver, CO 80210-7000 | 2007-03-09 |
| 1104817519 | Eric M Washychyn | Physician Assistant | 8101 E Lowry Blvd, Suite 260, Denver, CO 80230-7196 | 2005-11-03 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.