REVIVAL SPINE SURGERY LLC – NPI #1972005676
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

REVIVAL SPINE SURGERY LLC is an orthopaedic surgeon located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1972005676 to REVIVAL SPINE SURGERY LLC on March 08, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 8 years ago on Jul 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVAL SPINE SURGERY LLC below.

NPI Profile for
REVIVAL SPINE SURGERY LLC

NPI Number
1972005676
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVAL SPINE SURGERY LLC
Primary location
621 S NEW BALLAS RD STE 589A
SAINT LOUIS, MO 63141
Phone: (314) 690-8383 Fax:
1 Other location(s):
1920 Sturfield Ct
Saint Louis, MO 63131-1625
Phone: (314) 435-5868
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LUKASZ CURYLO
MD/PRESIDENT
Phone: (314) 690-8383
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.