Thomas John Revak, DO
Orthopaedic Surgery Physician · Saint Louis, MO
Practice location
1008 South Spring AvenueOrthopaedic Surgery, Slucare Administrative Pavillion F
Saint Louis, MO 63110-2539
- Phone
- (314) 977-5350
NPI record
- NPI
- 1023306859
- Entity type
- Individual (Type 1)
- Enumeration date
- July 13, 2011
- Last updated
- March 1, 2021
- Certified
- February 10, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X |
2015015073 | MO |
| Orthopaedic Surgery Physician | 207X00000X |
OT014391 | PA |
Other practice locations (1)
- 3635 Vista Ave, Saint Louis, MO 63110-2539 · (314) 577-8850
About Dr. Revak
Thomas John Revak, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110-2539. The NPI number 1023306859 was assigned on July 13, 2011 and the record was last updated on March 1, 2021.
Dr. Revak lists 2 licenses in the registry: #2015015073 (MO) for Orthopaedic Surgery Physician; #OT014391 (PA) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Thomas John Revak, DO?
The NPI number is 1023306859.
What is the phone number of Dr. Revak?
The phone number listed for the practice location is (314) 977-5350.
Where is Dr. Revak located?
1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110-2539.
What is the taxonomy code for Dr. Revak?
The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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